NPIMap

Organization Active NPI

Suzanne C. Kearney Licsw, Inc.

  • Clinical Social Worker
  • Newton, MA
National Provider Identifier
1073159521
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUZANNE C. KEARNEY LICSW, INC.
Practice address
38 Colonial Ave
Newton, MA 02460-1215
Phone
(617) 413-6711
Fax
(617) 332-7991
NPI assigned
Nov 20, 2019
Last updated
Nov 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Authorized official

Name
Mrs. Suzanne C. Kearney, LICSW
Title
Clinician
Phone
(617) 413-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

38 Colonial Ave
Newton, MA 02460-1215

Mailing address

38 Colonial Ave
Newton, MA 02460-1215
Phone (617) 413-6711

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1073159521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 COLONIAL AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601215",
            "telephone_number": "617-413-6711",
            "fax_number": "617-332-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 COLONIAL AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601215",
            "telephone_number": "617-413-6711",
            "fax_number": "617-332-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE C. KEARNEY LICSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "617-413-6711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.