Susan Brennan McIntyre, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1021839 Issued in MA

Practice address

727 High St
Suite 200
Westwood, MA 02090-2599

Phone

(781) 929-5461

NPI assigned

Jan 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 27, 2016 through Sep 27, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1033480561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLDE CARRIAGE RD",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902914",
            "telephone_number": "781-929-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 HIGH ST",
            "address_2": "SUITE 200",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902599",
            "telephone_number": "781-929-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "SUSAN",
        "middle_name": "BRENNAN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil A. McDonald, M.D.
• Kristen McGourty, N.P.
• Jane R McGowan, CRNA
• Marilyn M McGuire, CRNA
• Charles J McInnis, M.D.
• Marguerite McKeeman, CRNA
• Kathleen E McLean, CRNA
• Donald J McLellan, DDS
• Jah Augustus McLernan, CRNA
• John L McManamy, MD

• Clinical Social Worker in Westwood, MA
• Providers in Westwood, 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 Jan 13, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.