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MS. SUSAN S. BREAZEALE LISW
NPI 1194814228
Social Worker in Arroyo Hondo, NM

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
36 NIEMAN RD, ARROYO HONDO, NM 87513(575) 613-0430 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Susan S. Breazeale Lisw NPPES

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

MS. SUSAN S. BREAZEALE LISW (NPI 1194814228) is an individual social worker in Arroyo Hondo, New Mexico, licensed in New Mexico (I-04744) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Arroyo Hondo, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194814228
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. SUSAN S. BREAZEALECredential: LISW
Location Address36 NIEMAN RDArroyo Hondo, NM 87513
Mailing AddressPo Box 1483El Prado, NM 87529-1483 · (575) 613-0430
Phone(575) 613-0430
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 12, 2006
Last NPPES UpdateJanuary 16, 2020
✔ NPI 1194814228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in NM · I-04744✔ Licensed in NM · C-04744
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
36 NIEMAN RD, Arroyo Hondo, NM 87513
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Secondary Practice Location 1

Location 1# 30 Nieman Rd.Arroyo Hondo, NM 87513 · Phone (505) 776-0073

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Susan S. Breazeale Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406282078
PECOS Enrollment IDI20200130002662
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.

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 Breazeale's NPI number?

The NPI number for Susan Breazeale is 1194814228. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Susan Breazeale located?

Susan Breazeale practices at 36 Nieman Rd, Arroyo Hondo, NM 87513. The listed phone number is (575) 613-0430.

What is Susan Breazeale's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Susan Breazeale enrolled in Medicare?

Yes. Susan Breazeale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Breazeale was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.