MRS. SUSAN CONNOR (NPI# 1255317731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255317731 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN CONNOR |
| Credential | LCSW |
| Practice Address |
1703 Country Club Road Suite 204 Jacksonville NC 28546 |
| Practice Telephone | 9103473010 |
| Practice Fax Number | 9103473201 |
| Mailing Telephone | 9103473010 |
| Mailing Fax Number | 9103473201 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | C002371 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS | 131C6 | 01 |
| NC | 6003139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144614629 | Susan Connor | Specialist/Technologist | 4432 Mountain Cove Dr, Charlotte, NC 28216-7764 | 2015-03-24 |
| 1932169828 | Susan Ann Connor | Family Medicine | 240 Allegheny Blvd., Ste. F, Brookville, PA 15825 | 2006-03-24 |
| 1487624292 | Susan K. Connor | Obstetrics & Gynecology | 1181 Hutto Road, Orangeburg, SC 29118-8204 | 2006-01-24 |
| 1770884421 | Susan Maria Connor | Physician Assistant | 7116 Ritchie Hwy, Glen Burnie, MD 21061-2904 | 2010-11-11 |
| 1821117573 | Susan Marie Connor | Specialist | 9736 S Hamilton Ave, Chicago, IL 60643-1644 | 2007-03-27 |
| 1982742086 | Susan Dorothea Connor | Physical Therapist | 600 Elizabeth St, Corpus Christi, TX 78404-2235 | 2007-02-01 |
| Street Address |
1703 COUNTRY CLUB ROAD SUITE 204 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741035 | Jerry Fatica | Psychologist | 1703 Country Club Road, Suite 204, Jacksonville, NC 28546 | 2005-12-16 |
| 1740266220 | Mary Engelstatter | Psychologist | 1703 Country Club Road, Suite 204, Jacksonville, NC 28546 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653718 | Regina Sherman | Social Worker | 10135 Gate Pkwy N Suite 1516, Jacksonville, FL 32246-8267 | 2020-09-11 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1700412822 | Marie Vernal | Social Worker | 6051 Arlington Expressway Suite 169, Jacksonville, FL 32211 | 2020-03-20 |
| 1790325199 | Brittany Barrett | Social Worker | 1526 Parental Home Rd, Jacksonville, FL 32216-3010 | 2020-01-14 |
| 1215592654 | Giana Marie Bobka | Social Worker | 3831 Forest Blvd, Jacksonville, FL 32246-6474 | 2019-05-01 |
| 1063979532 | Morgan E Phoebus | Social Worker | 209 Sage Pl, Jacksonville, NC 28540-3109 | 2019-02-20 |
| 1629549290 | Christina Roman | Social Worker | 6810 Long Meadow Cir S, Jacksonville, FL 32244-6177 | 2018-12-07 |
| 1356826549 | Shecolby Sims | Social Worker | 11640 Tanager Dr, Jacksonville, FL 32225-2565 | 2018-10-03 |
| 1275023558 | Vernell King | Social Worker | 233 E Bay St Ste 916, Jacksonville, FL 32202-3456 | 2018-05-13 |
| 1316436660 | Sheronda Nicole Holzendorf | Social Worker | 5559 Verbena Rd, Jacksonville, FL 32209-2418 | 2018-05-02 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on MRS. SUSAN CONNOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.