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Deactivated NPI 1275698912 Deactivated / Inactive NPI Female Practitioner

Susan Lorraine Jensen , MA

Social Worker • Lilburn, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Susan Jensen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 22, 2006
NPI Deactivation Date February 09, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Susan Jensen, MA was a registered Social Worker practicing in Lilburn, GA. Throughout an active medical career spanning 15 years, Susan Jensen provided care at the practice location at 1212 MARY DALE DR SW until profile deactivation on 2021-02-09.

Practice Location & Contact Primary Location

Practice Address

1212 Mary Dale Dr Sw

Lilburn, GA 300475540

Telephone 7706380461

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Lilburn, GA (2201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 09, 2021

Record deactivated on February 09, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1212 MARY DALE DR SW, LILBURN, GA 300475540 (Tel: 7706380461)

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Updated Business Mailing Address July 09, 2007

Registered at 1212 MARY DALE DR SW, LILBURN, GA 300475540 (Tel: 7706380461)

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Provider Name / Credentials Updated July 09, 2007

Recorded as SUSAN JENSEN, M.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Social Worker

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Initial NPI Registration & Enumeration December 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275698912
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2006
Last Update: July 09, 2007
Deactivation Date: February 09, 2021

Mailing Address

1212 Mary Dale Dr Sw

Lilburn, GA 300475540

Phone: 7706380461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.