Individual provider Active NPI

Susan Rae Levin, MSW

  • Clinical Social Worker
  • Jamaica Plain, MA
National Provider Identifier
1033275680
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103242 Issued in MA
Practice address
241 Perkins St Unit E102
Jamaica Plain, MA 02130-4057
Phone
(617) 816-4833
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 103242 MA Primary

Addresses

Primary practice location

241 Perkins St Unit E102
Jamaica Plain, MA 02130-4057

Mailing address

241 Perkins St Unit E102
Jamaica Plain, MA 02130-4057
Phone (617) 816-4833

Other practice location 1

804 Long Pond Rd
Plymouth, MA 02360-2648
Phone (617) 816-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 17, 2022 through Nov 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103242MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1033275680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PERKINS ST UNIT E102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304057",
            "telephone_number": "617-816-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PERKINS ST UNIT E102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304057",
            "telephone_number": "617-816-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023602648",
            "country_code": "US",
            "telephone_number": "617-816-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SUSAN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.