Active NPI
Susan A Vincent, LICSW
- Clinical Social Worker
- New Bedford, MA
National Provider Identifier
1023092079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106939
- Practice address
- 3 N Orchard St
New Bedford, MA 02740-3661 - Phone
- (508) 991-4404
- Fax
- (508) 996-4862
- NPI assigned
- Dec 2, 2005
- Last updated
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106939 | MA | Primary |
Addresses
Primary practice location
3 N Orchard St
New Bedford, MA 02740-3661
Mailing address
PO Box 604
Fairhaven, MA 02719-0604
Phone (508) 991-4404
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1890492 | Medicaid | MA | |
| 104967 | Other | MA | MAGELLAN |
| 755196 | Other | MA | TUFTS HEALTH PLAN |
Other names 1
- Ms. Susan A Bell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051202000608 | MA | Practitioner - Clinical Social Worker | 0244250363 | Practice locations: New Bedford, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
333 Union St
New Bedford, MA 02740-3665
Phone (508) 991-4404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106939 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Psychiatry LLC | Clinical | Past | Accepting new patients |
| Linda M Palmer, Aprn, BC, LLC | Past | Accepting new patients | |
| Anadyne Psychotherapy, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Norwood, MA
- NPI 1336442813
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- New Bedford, MA
- NPI 1174030340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1023092079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027190604",
"telephone_number": "508-991-4404",
"fax_number": "508-996-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 N ORCHARD ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027403661",
"telephone_number": "508-991-4404",
"fax_number": "508-996-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "SUSAN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-02",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1890492",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "104967",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "755196",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BELL",
"middle_name": "A",
"prefix": "MS.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.