Individual provider Active NPI

Suzanne Vargas, LCSW

  • Clinical Social Worker
  • Fremont, CA
National Provider Identifier
1952899411
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
79703 Issued in CA
Practice address
38970 Blacow Rd Ste C
Fremont, CA 94536-7380
Phone
(510) 408-7213
NPI assigned
Apr 30, 2018
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 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 79703 CA Primary

Addresses

Primary practice location

38970 Blacow Rd Ste C
Fremont, CA 94536-7380

Mailing address

38970 Blacow Rd Ste C
Fremont, CA 94536-7380
Phone (510) 206-5164

Other practice location 1

39771 Paseo Padre Pkwy
Fremont, CA 94538-2926
Phone (510) 408-7213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
79703CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Vargas Licensed Clinical Social Worker Inc CurrentSince Oct 13, 2024 Accepting new patients

Locations

38970 Blacow Rd
Ste C
Fremont, CA 94536
Phone (510) 299-2892

39771 Paseo Padre Pkwy
Fremont, CA 94538
Phone (510) 408-7213

Organizations & group practices 1

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1952899411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38970 BLACOW RD STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945367380",
            "telephone_number": "510-206-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38970 BLACOW RD STE C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945367380",
            "telephone_number": "510-408-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39771 Paseo Padre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382926",
            "country_code": "US",
            "telephone_number": "510-408-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.