Active NPI
Susan Prior Thomaes, LCSW
- Clinical Social Worker
- Concord, CA
National Provider Identifier
1992052138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 99275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64238 | CA | MD | Counselor |
| ASW64238 | CA | MD | Mental Health Counselor |
| 99275 | CA | MD | Clinical 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.