Susan H Sporl, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006111 Issued in WA

Practice address

3019 Judson St
Suite C
Gig Harbor, WA 98335-5143

Phone

(253) 851-9018

Fax

(253) 851-3461

NPI assigned

Mar 20, 2007

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

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992820500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1546",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983353546",
            "telephone_number": "253-851-9018",
            "fax_number": "253-851-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 JUDSON ST",
            "address_2": "SUITE C",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355143",
            "telephone_number": "253-851-9018",
            "fax_number": "253-851-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORL",
        "first_name": "SUSAN",
        "middle_name": "H",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.