SUSAN MARIE HANNON (NPI# 1518222488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518222488 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE HANNON |
| Credential | LCSW |
| Practice Address |
14700 Manzanita Park Rd Beaumont CA 92223 |
| Mailing Address |
43890 San Ysidro Cir Palm Desert CA 92260-3107 |
| Practice Telephone | 9518453155 |
| Mailing Telephone | 7607736477 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 20199 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 58945 Business Center Dr Ste D, Yucca Valley, CA 922847310 | 7602289657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932303765 | Susan Hannon | Registered Nurse | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-06-14 |
| Street Address |
14700 MANZANITA PARK RD |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841314168 | Colleen Suzanne Lyon | Social Worker | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2007-03-19 |
| 1871112789 | Yva Marie Schmalzer | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-04-10 |
| 1013545052 | Eleanor Silva | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-03-27 |
| 1487286142 | Nora Cecilia Alvarez-padilla | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-02-10 |
| 1295367951 | Brianna Dombroske | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-02-10 |
| 1992345466 | Sarah Beth Ikeda | Rehabilitation Practitioner | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-01-13 |
| 1437799186 | Eleno Zepeda | Case Manager/Care Coordinator | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2020-01-10 |
| 1477108983 | George Don Jones IIi | Case Manager/Care Coordinator | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-08-02 |
| 1386299808 | Kelly Bugarin | Case Manager/Care Coordinator | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-08-02 |
| 1083277958 | Sylvia Isabel Rodriguez Smith | Counselor | 14700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1063045656 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-02-21 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| Find all providers in zip 92223 | ||||
| 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 |
|---|---|---|---|---|
| 1063024537 | Johnathon Elizaio Zarate | Social Worker | 275 Chateau Ln, Beaumont, TX 77707-1405 | 2020-08-17 |
| 1528679941 | Sidney Maduforo | Social Worker | 1664 Midnight Sun Dr, Beaumont, CA 92223-8443 | 2020-08-10 |
| 1295359784 | Elizabeth Kaehla Waissman | Social Worker | 1527 Edgebrook, Beaumont, CA 92223-7495 | 2020-06-01 |
| 1871137653 | Natosha Diane Anderson | Social Worker | 2190 Wildflower Ln, Beaumont, TX 77713-9234 | 2019-11-04 |
| 1265997324 | Jayne Wakefield | Social Worker | 990 Ih 10 N Ste 180, Beaumont, TX 77702-1020 | 2019-02-04 |
| 1558712125 | Jessica Sarah Garcia | Social Worker | 984 Lillies Way, Beaumont, CA 92223-7825 | 2016-06-24 |
| 1447605266 | Anita Morrow | Social Worker | 2750 S 8th St Bldg D, Beaumont, TX 77701-7719 | 2016-04-29 |
| 1568703742 | Linda Gaye Clark | Social Worker | 148 S Dowlen Rd, # 638, Beaumont, TX 77707-1755 | 2013-03-12 |
| 1225384217 | Esther Ruth Youngman | Social Worker | 701 Highland Springs Ave Ste 7, Beaumont, CA 92223-2550 | 2012-07-27 |
| 1437462785 | Cynthia Ksiazek | Social Worker | 857 E Virginia, Beaumont, TX 77705 | 2010-07-15 |
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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.