SUSANNE M CONKLIN MSW, LCSW
NPI 1871640714
Social Worker - Clinical in Orange, CA

Q: What is Susanne Conklin's NPI number?

The NPI number for Susanne Conklin is 1871640714. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Susanne Conklin's specialty?

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

Q: Is Susanne Conklin enrolled in Medicare?

No. Susanne Conklin has opted out of Medicare through May 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Susanne Conklin 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.

Active since January 04, 2007Opted out of Medicare · through May 1, 2028

1745 W ORANGEWOOD AVE STE 101, ORANGE, CA 92868(949) 370-1876 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Susanne M Conklin Msw, Lcsw NPPES

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

SUSANNE M CONKLIN MSW, LCSW (NPI 1871640714) is an individual clinical provider in Orange, California, licensed in California (LCS17341) and active in the NPI registry since January 2007. She has opted out of Medicare through May 1, 2028.

NPPES Registry Identity

NPI1871640714

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSUSANNE M CONKLINCredential: MSW, LCSW

Location Address1745 W ORANGEWOOD AVE STE 101Orange, CA 92868-2041

Mailing Address1745 W Orangewood Ave Ste 101Orange, CA 92868-2041 · (949) 370-1876

Phone(949) 370-1876

Sole ProprietorYes

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871640714 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 · LCS17341

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.

1745 W ORANGEWOOD AVE STE 101, Orange, CA 92868

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susanne M Conklin Msw, Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2026 through May 1, 2028.

Opt-Out Effective DateMay 1, 2026

Opt-Out In Effect ThroughMay 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

MINDY LAUERLEVIN LCSW

Social Worker (Clinical)