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MS. SUSAN WRIGHT LCS2139
NPI 1053415604
Social Worker - Clinical in Corte Madera, CA

Active since September 12, 2006PECOS Enrolled
311 PRINCE ROYAL DR, CREATIVE LIFE CHANGE INSTITUTE, CORTE MADERA, CA 94925(415) 927-2748(415) 927-7948 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Wright Lcs2139 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SUSAN WRIGHT LCS2139 (NPI 1053415604) is an individual clinical provider in Corte Madera, California, licensed in California (2139) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053415604
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SUSAN WRIGHTCredential: LCS2139
Location Address311 PRINCE ROYAL DR, CREATIVE LIFE CHANGE INSTITUTECorte Madera, CA 94925
Mailing Address311 Prince Royal Dr, Creative Life Change InstituteCorte Madera, CA 94925 · (415) 927-2748 · Fax (415) 927-7948
Phone(415) 927-2748
Fax(415) 927-7948
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053415604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 2139
Definition
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.
311 PRINCE ROYAL DR, Corte Madera, CA 94925
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Other Identifiers 1

Medicare ID-Type Unspecified22217842ZCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan Wright Lcs2139 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94925 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $69.07 – $202.63
Typical copayment $0.00 (range $17.26 – $50.65)
Most-billed visit code NA
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Wright's NPI number?

The NPI number for Susan Wright is 1053415604. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Susan Wright located?

Susan Wright practices at 311 Prince Royal Dr Creative Life Change Institute, Corte Madera, CA 94925. The listed phone number is (415) 927-2748.

What is Susan Wright's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Susan Wright enrolled in Medicare?

Yes. Susan Wright is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Wright was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.