SUSAN LYNN CORDERO
NPI 1952966004
Social Worker - Clinical in San Jose, CA

Q: What is Susan Cordero's NPI number?

The NPI number for Susan Cordero is 1952966004. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Q: What is Susan Cordero's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Cordero was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 03, 2019PECOS EnrolledAccepts Medicare Assignment

160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112(408) 938-2113(408) 579-6143 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2023, Jun 29, 2020, May 3, 2019 (3 updates tracked since 2019).

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About Susan Lynn Cordero NPPES

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

SUSAN LYNN CORDERO (NPI 1952966004) is an individual clinical provider in San Jose, California, licensed in California (95913) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Mateo, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952966004

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSUSAN LYNN CORDERO

Location Address160 E VIRGINIA ST STE 100San Jose, CA 95112-5865

Mailing Address160 E Virginia St Ste 100San Jose, CA 95112-5865 · (408) 938-2113 · Fax (408) 579-6143

Phone(408) 938-2113

Fax(408) 579-6143

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 3, 2019

Last NPPES UpdateMarch 28, 20233 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1952966004 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 · 95913

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

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

160 E VIRGINIA ST STE 100, San Jose, CA 95112

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Secondary Practice Location 1

Location 12000 Alameda De Las PulgasSan Mateo, CA 94403-1269 · Phone (650) 573-2502

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

Susan Lynn Cordero 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 ID4880119643

PECOS Enrollment IDI20250415001632

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 95112 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 $70.37 – $206.04

Typical copayment $0.00 (range $17.59 – $51.51)

Most-billed visit code NA

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

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.

KATE LOUISE RUSSELL-BOGAN

Student in an Organized Health Care Education/Training Program