Individual provider Active NPI

Susan Prior Thomaes, LCSW

  • Clinical Social Worker
  • Concord, CA
National Provider Identifier
1992052138
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
99275 Issued in CA
Practice address
1430 Willow Pass Rd
Concord, CA 94520-7928
Phone
(925) 288-3912
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 64238 CA
Mental Health Counselor 101YM0800X ASW64238 CA
Social Worker 104100000X 99275 CA
Other Technician 247200000X
Clinical Social Worker 1041C0700X 99275 CA Primary

Addresses

Primary practice location

1430 Willow Pass Rd
Concord, CA 94520-7928

Mailing address

22505 Woodroe Ave
Hayward, CA 94541-3410
Phone (510) 318-6112

Other practice location 1

300 Sunnyhills Dr
300 Sunny Hills Drive
San Anselmo, CA 94960-1909
Phone (415) 457-3200 ext. 136

Other practice location 2

22505 Woodroe Ave
Hayward, CA 94541-3410
Phone (510) 318-6112

Other names 1

  • Susan Newman Prior Former name

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
64238CAMDCounselor
ASW64238CAMDMental Health Counselor
99275CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1992052138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22505 WOODROE AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413410",
            "telephone_number": "510-318-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WILLOW PASS RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207928",
            "telephone_number": "925-288-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Sunnyhills Dr",
            "address_2": "300 Sunny Hills Drive",
            "address_purpose": "LOCATION",
            "city": "San Anselmo",
            "state": "CA",
            "postal_code": "949601909",
            "country_code": "US",
            "telephone_number": "415-457-3200 x136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22505 Woodroe Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413410",
            "country_code": "US",
            "telephone_number": "510-318-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAES",
        "first_name": "SUSAN",
        "middle_name": "PRIOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "64238",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW64238",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "99275",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "99275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PRIOR",
            "middle_name": "NEWMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.