CONNIE XIAO SUN L.C.S.W.
NPI 1073708210
Social Worker - Clinical in South Pasadena, CA

Active since September 11, 2007PECOS Enrolled
625 FAIR OAKS AVE, SOUTH PASADENA, CA 91030(626) 441-4221(626) 441-6479 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Dec 7, 2017 (2 updates tracked since 2017).

About Connie Xiao Sun L.c.s.w. NPPES

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

CONNIE XIAO SUN L.C.S.W. (NPI 1073708210) is an individual clinical provider in South Pasadena, California, licensed in California (LCSW28964) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073708210
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCONNIE XIAO SUNCredential: L.C.S.W.
Location Address625 FAIR OAKS AVESouth Pasadena, CA 91030-2630
Mailing Address66 Hurlbut StPasadena, CA 91105-4025 · (626) 441-4221 · Fax (626) 441-6479
Fax(626) 441-6479
Sole ProprietorYes
Enumeration DateSeptember 11, 2007
Last NPPES UpdateFebruary 29, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
NPI 1073708210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW28964
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 26121 (CA)
625 FAIR OAKS AVE, South Pasadena, CA 91030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Connie Xiao Sun L.c.s.w. 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 91030 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
625 FAIR OAKS AVE, SUITE 300
SOUTH PASADENA, CA 91030
Rehabilitation Practitioner
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Day Training/Habilitation Specialist
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Psychologist (Group Psychotherapy)
625 FAIR OAKS AVE, SUITE 270
SOUTH PASADENA, CA 91030
Rehabilitation Practitioner
625 FAIR OAKS AVE, SUITE 300
S PASADENA, CA 91030
Rehabilitation Practitioner
625 FAIR OAKS AVE, SUITE 300
SOUTH PASADENA, CA 91030
Peer Specialist
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030
Behavior Technician
625 FAIR OAKS AVE
SOUTH PASADENA, CA 91030

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 Connie Sun's NPI number?

The NPI number for Connie Sun is 1073708210. It was assigned to this individual provider in the NPPES registry on September 11, 2007.

Where is Connie Sun located?

Connie Sun practices at 625 Fair Oaks Ave, South Pasadena, CA 91030. The listed phone number is (626) 441-4221.

What is Connie Sun's specialty?

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

Is Connie Sun enrolled in Medicare?

Yes. Connie Sun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connie Sun was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.