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SUSAN LAKE PSYD NPI 1962784488


NPI Information

NPI: 1962784488
Provider Name: SUSAN LAKE, PSYD
Classification: Rehabilitation Counselor - 225C00000X
Entity Type: Individual
Address:
1330 LINCOLN AVE STE 201
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 459-5999
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Susan Lake, PSYD is a rehabilitation counselor in San Rafael, CA. The provider is an individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology. Susan Lake, PSYD NPI is 1962784488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1330 LINCOLN AVE STE 201
SAN RAFAEL, CA
ZIP 94901-142
Phone: (415) 459-5999

The enumeration date for this NPI number is 9/10/2011 and was last updated on 12/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225C00000XRehabilitation CounselorYes
2103T00000XPsychologistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.