Individual provider Active NPI

Susanna Eileen Wright, LCSW, MSW, CADCI

  • Clinical Social Worker
  • Clearlake, CA
National Provider Identifier
1942790480
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123198 Issued in CA
Practice address
6961 Meadowbrook Dr
Clearlake, CA 95422-9064
Phone
(707) 339-9081
NPI assigned
May 10, 2018
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123198 CA Primary

Addresses

Primary practice location

6961 Meadowbrook Dr
Clearlake, CA 95422-9064

Mailing address

6961 Meadowbrook Dr
Clearlake, CA 95422-9064
Phone (707) 339-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808002124 CA Practitioner - Clinical Social Worker 3678010576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of LakeGroup PAC ID 2466495429, 12 clinicians

Practice addresses (Care Compare)

6302 13TH Ave
Lucerne, CA 95458-1034
Phone (707) 274-9101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123198CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Jul 9, 2024 Accepting new patients
County of Lake CurrentSince Jul 25, 2025 Accepting new patients
County of Lake Current Accepting new patients

Locations

7000B S Center Dr
Clearlake, CA 95422
Phone (707) 274-9101

7000B S Center Dr
Unit A
Clearlake, CA 95422

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1942790480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 MEADOWBROOK DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229064",
            "telephone_number": "707-339-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 MEADOWBROOK DR",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229064",
            "telephone_number": "707-339-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SUSANNA",
        "middle_name": "EILEEN",
        "credential": "LCSW, MSW, CADCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "123198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearlake, CA

Sources for this page

Verify at the official NPI Registry.