Samantha Mae Susa

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ASW107373 Issued in CA

Practice address

1351 24TH Ave
San Francisco, CA 94122-1616

Phone

(628) 754-8200

Fax

(628) 217-7506

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1972096352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 24TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221616",
            "telephone_number": "628-754-8200",
            "fax_number": "628-217-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 24TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221616",
            "telephone_number": "628-754-8200",
            "fax_number": "628-217-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSA",
        "first_name": "SAMANTHA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW107373",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda E. Surjadi, NP MS
• Dawn Surratt, NP
• Steve Richard Surryhne, LPT
• Aarti Bhupendra Surti, MD
• Survivors International
• Susan H. Huang, M.D., Inc.
• Susan Lunardi Physical Therapy, PC
• Pauline H. Susanto, D.D.S.
• Abigail C Susbilla
• George P. Susens, MD

• Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.