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SUSANA ANGELICA MILLAN
NPI 1649785247
Social Worker - Clinical in Modesto, CA

Active since December 05, 2017PECOS Enrolled
4125 BANGS AVE, MODESTO, CA 95356(209) 557-2363 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susana Angelica Millan NPPES

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

SUSANA ANGELICA MILLAN (NPI 1649785247) is an individual clinical provider in Modesto, California, licensed in California (74496) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649785247
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSANA ANGELICA MILLAN
Location Address4125 BANGS AVEModesto, CA 95356-8713
Mailing Address4125 Bangs AveModesto, CA 95356-8713 · (209) 557-2363
Phone(209) 557-2363
Sole ProprietorYes
Enumeration DateDecember 5, 2017
✔ NPI 1649785247 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 · 74496
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.
4125 BANGS AVE, Modesto, CA 95356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susana Angelica Millan 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.

Medicare Billing Reassignment

Medicare enrollment records show Susana Millan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
25 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

DR. KURT DAYNE BAKER PH.D.
Psychologist (Clinical)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2300
DR. ANDREW DAVID MAMALIS MD
Student in an Organized Health Care Education/Training Program
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 735-5510
MS. LISA TEIXEIRA
Social Worker (Clinical)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2314
NICOLE RENEE DAVIS-MARENCO FNP
Nurse Practitioner
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 735-5510
DR. MARY JESSIE SUMITHRA M.D
Pediatrics
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-1630
MARIA MARISSA DE LEON LIWAG MD
Pediatrics
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 551-3174
DR. BARBARA MARIE TODD PHD, MSCP
Psychologist (Clinical)
4125 BANGS AVE, DEPARTMENT OF PEDIATRICS, KAISER PERMANENTE
MODESTO, CA 95356
Stanislaus County (209) 557-1643
ANA LUISA CALLENDER LMFT
Counselor (Mental Health)
4125 BANGS AVE
MODESTO, CA 95356
Stanislaus County (209) 557-2309

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 Susana Millan's NPI number?

The NPI number for Susana Millan is 1649785247. It was assigned to this individual provider in the NPPES registry on December 5, 2017.

Where is Susana Millan located?

Susana Millan practices at 4125 Bangs Ave, Modesto, CA 95356. The listed phone number is (209) 557-2363.

What is Susana Millan's specialty?

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

Is Susana Millan enrolled in Medicare?

Yes. Susana Millan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susana Millan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susana Millan reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susana Millan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susana Millan was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.