Individual provider Active NPI

Susan Abigail McCarrel, L.C.S.W. D.C.S.W.

  • Clinical Social Worker
  • Arcadia, CA
National Provider Identifier
1962620831
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16129 Issued in CA
Practice address
236 E Foothill Blvd Ste C
Arcadia, CA 91006-7518
Phone
(626) 755-4059
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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 LCS16129 CA Primary

Addresses

Primary practice location

236 E Foothill Blvd Ste C
Arcadia, CA 91006-7518

Mailing address

24433 Rosegate PL
Diamond Bar, CA 91765-1465
Phone (626) 755-4059

Other practice location 1

760 W. Mountain View St.
Altadena, CA 91001
Phone (626) 755-4059

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS16129CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1962620831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24433 ROSEGATE PL",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651465",
            "telephone_number": "626-755-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E FOOTHILL BLVD STE C",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067518",
            "telephone_number": "626-755-4059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 W. Mountain View St.",
            "address_purpose": "LOCATION",
            "city": "Altadena",
            "state": "CA",
            "postal_code": "91001",
            "country_code": "US",
            "telephone_number": "626-755-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARREL",
        "first_name": "SUSAN",
        "middle_name": "ABIGAIL",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W. D.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.