Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Lynn Cordero

Individual provider Mental Health Counselor · NPI 1952966004

Susan Lynn Cordero is a Clinical Social Worker in San Jose, California. Qualified in 2020, 6 years ago. Practices with Lifelong Medical Care, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone: (408) 938-2113
Fax: (408) 579-6143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 — (650) 573-2502

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 95913 (CA)
Mental Health Counselor Taxonomy 101YM0800X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952966004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2019
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lifelong Medical Care — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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