MEDICARE: SUZANNE VARGAS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	79703	CA

General Provider Information

NPI Number	:	1952899411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE VARGAS LCSW

Provider Business Mailing Address
First Line	:	38970 BLACOW RD STE C
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-7380
Country	:	US
Telephone Number	:	510-206-5164
Fax Number	:

Provider Business Practice Location Address
First Line	:	38970 BLACOW RD STE C
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-7380
Country	:	US
Telephone Number	:	510-408-7213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2018
Last Update Date	:	06/01/2026

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