Laraine Shore-Suslowitz, LICSW,MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105630 Issued in MA

Practice address

108 Woodside Dr
Longmeadow, MA 01106-2042

Phone

(413) 537-1957

Fax

(413) 567-9993

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Springfield Counseling, PC

  • Mental Health Counselor
  • Longmeadow, MA
  • NPI 1700945656
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1033278320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WOODSIDE DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062042",
            "telephone_number": "413-537-1957",
            "fax_number": "413-567-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WOODSIDE DR",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062042",
            "telephone_number": "413-537-1957",
            "fax_number": "413-567-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE-SUSLOWITZ",
        "first_name": "LARAINE",
        "name_prefix": "Ms.",
        "credential": "LICSW,MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vinodray R Shah, MD
• Amanda Sheehan, LMFT
• Stephanie Sherriffs
• Alan Shia, B.S.PHARM
• Polina Shligerski
• Paul David Shore-Suslowitz, ED.D.
• Karen Linda Shore, M.D.
• Niloufar H Shoushtari, MD
• Tushaar Vishal Shrimanker, MD, MRCP(LON)
• Sarah Shube, LMHC

• Clinical Social Worker in Longmeadow, MA
• Providers in Longmeadow, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.

Verify at the official NPI Registry.