Susan Irene Forer-Dehrey

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15352 Issued in CA

Practice address

4227 Goodland Ave
Studio City, CA 91604-1541

Phone

(818) 331-0106

NPI assigned

Mar 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1972250165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 GOODLAND AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041541",
            "telephone_number": "818-331-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 GOODLAND AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041541",
            "telephone_number": "818-331-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORER-DEHREY",
        "first_name": "SUSAN",
        "middle_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "15352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Response Hospice LLC
• Sandi J. Fischer, PH.D.
• John Fisher
• Francisco N Flores, M.D.
• Martha Flores
• Reisha Forshpan
• D. Steven Fox, M.D.
• Mary M. Fox, PH.D.
• Franco, Inc.
• Victoria Dianne Frantz, MA, LMFT

• Clinical Social Worker in Studio City, CA
• Providers in Studio City, 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 Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.