SUSAN GERDTZ (NPI# 1053463166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053463166 |
| Entity Type | Individual |
| Full Name | SUSAN GERDTZ |
| Credential | LCSW |
| Practice Address |
801 Empire St Fairfield CA 94533-5702 |
| Mailing Address |
2110 Wilmington Dr Walnut Creek CA 94596-6239 |
| Practice Telephone | 7074255744 |
| Practice Fax Number | 7074255162 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW28488 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 3782 | 05 |
| Street Address |
801 EMPIRE ST |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568523215 | Eileen Nolan | Social Worker | 801 Empire St, Fairfield, CA 94533-5702 | 2006-12-13 |
| 1053927178 | Cristina Marissa Cummings | Occupational Therapist | 801 Empire St, Fairfield, CA 94533-5702 | 2020-09-23 |
| 1528674231 | Alicia Renee Samp | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2020-09-17 |
| 1184237513 | Jessica Elizabeth Chelsky | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2020-08-25 |
| 1316571052 | Darrell Allen Staley Jr. | Counselor | 801 Empire St, Fairfield, CA 94533-5702 | 2020-03-02 |
| 1871142570 | Ariel Perloff | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-09-05 |
| 1295384048 | Catherine Ann Mitsuko Berner | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-09-04 |
| 1538717558 | Jennifer Lynn Harrigan | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-09-03 |
| 1558919787 | Leslie Nicole Alter | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-08-30 |
| 1427606771 | Lindsay Hammond | Student in an Organized Health Care Education/Training Program | 801 Empire St, Fairfield, CA 94533-5702 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1386260040 | Phoebe Ward Gould Musico | Social Worker | 45 Pope St, Fairfield, CT 06825-4328 | 2020-06-18 |
| 1003445008 | Jennifer Mikell Lincoln | Social Worker | 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 | 2020-04-02 |
| 1174166185 | Holly Mundon | Social Worker | 5 Darby Heath, Fairfield, OH 45014-5261 | 2019-10-22 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1689138133 | Sue Nadel | Social Worker | 60 Hitching Post Ln, Fairfield, CT 06824-3133 | 2019-01-29 |
| 1194296905 | Claudia Mast | Social Worker | 301 W Burlington, Fairfield, IA 52556-5255 | 2018-12-06 |
| 1942782842 | Michael Joseph Molina | Social Worker | 510 Parker Rd, Fairfield, CA 94533-9000 | 2018-09-06 |
| 1134605256 | Ashley Marie Stringer | Social Worker | 7000 Grasselli Rd, Fairfield, AL 35064-2424 | 2018-07-11 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.