Susan L. Basmajian, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS14629 Issued in CA

Practice address

9180 N Woodlawn Dr
Fresno, CA 93720-1290

Phone

(559) 289-6787

NPI assigned

Sep 13, 2006

Last updated

Oct 30, 2020By the provider in NPPES

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

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1972608081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 N WOODLAWN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201290",
            "telephone_number": "559-289-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 N WOODLAWN DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201290",
            "telephone_number": "559-289-6787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032223",
            "country_code": "US",
            "telephone_number": "559-225-6100 x5939",
            "fax_number": "559-241-6481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASMAJIAN",
        "first_name": "SUSAN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS14629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamala Basaula, CRNA
• Kerry Marie Bash, CATC
• Gregory Edward Basila, R.D.
• Lisa Marie Basile
• Emilia Basilio, MD, MPH
• Satnam Basran
• Jaswant Singh Basraon, DO
• Rajvir Kaur Basraon, M.D
• Melissa Bass
• Khalil Bassam, MD

• Clinical Social Worker in Fresno, CA
• Providers in Fresno, 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 30, 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.