Susan Hollowell Willsmore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW102534 Issued in CA

Practice address

2677 N Main St Ste 130
Santa Ana, CA 92705-6665

Phone

(714) 551-7077

NPI assigned

Sep 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1942978044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 DATA DR APT 1234",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707964",
            "telephone_number": "302-399-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 N MAIN ST STE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056665",
            "telephone_number": "714-551-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSMORE",
        "first_name": "SUSAN",
        "middle_name": "HOLLOWELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW102534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.willsmore@sensiblecare.org",
            "affiliation": "N",
            "address_1": "2677 N Main St Ste 130",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927056665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raquel Sandy Williams, MSW
• Russell Williams
• Sierra Williams
• Terri Williams, RN
• Alice Wills
• Kamarr Avidon Wilmington Richee, M.C.
• Brittany Wilson
• Chad Everett Wilson
• Christiana Marie Wilson
• Christina Wilson

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.