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

Susan Marie Hannon, LCSW

Individual provider Clinical Social Worker · NPI 1518222488

Susan Marie Hannon, LCSW is a Clinical Social Worker in Indio, California. Qualified in 1993, 33 years ago. Practices with Tobias Moeller-Bertram MD Corporation, a 55-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

81812 Doctor Carreon Blvd Ste D
Indio, CA 92201-5594
Phone: (760) 647-7676
Fax: (760) 347-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 81800 Doctor Carreon Blvd Ste B, Indio, CA 92201-5595 — (760) 647-7676

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS 20199 (CA)

Record details

NPI number1518222488
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 6, 2012
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Tobias Moeller-Bertram Md Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Indio