SUSAN CARREON M.S.W.
NPI 1780054080
Social Worker - Clinical in Clearlake, CA
About Susan Carreon M.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN CARREON M.S.W. (NPI 1780054080) is an individual clinical provider in Clearlake, California, licensed in California (81688) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Susan Carreon M.s.w. 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Carreon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clearlake, CA 95422
- Reassigned Medicare billing, California enrollment
- 182 clinicians in this Medicare group
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 95422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Carreon's NPI number?
The NPI number for Susan Carreon is 1780054080. It was assigned to this individual provider in the NPPES registry on September 29, 2015.
Where is Susan Carreon located?
Susan Carreon practices at 15230 Lakeshore Dr, Clearlake, CA 95422. The listed phone number is (707) 995-4545.
What is Susan Carreon's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Susan Carreon enrolled in Medicare?
Yes. Susan Carreon 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.
Which organization bills Medicare for Susan Carreon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Carreon reassigns Medicare benefits to Adventist Health Clearlake Hospital Inc. (Clearlake, 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 Susan Carreon'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 Susan Carreon was last updated on April 9, 2018. 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.
# Susan Carreon, M.S.W. · NPI 1780054080
Clinical provider in Clearlake, California. Individual provider, active in the CMS NPPES registry since September 29, 2015.
## Identity
- **NPI:** 1780054080 (Entity type: Individual)
- **Enumerated:** September 29, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 81688 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15230 LAKESHORE DR, Clearlake, CA 95422-8107
- **Phone:** (707) 995-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Adventist Health Clearlake Hospital Inc. (NPI 1124018031, Clearlake, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1780054080) · Data from the CMS NPPES public registry.