Active NPI
Suzanne Marie Welsh Lobacki, MSW, LICSW
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1083786149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW1018829
- Practice address
- 185 Devonshire St Ste 503
Boston, MA 02110-1415 - Phone
- (508) 272-3192
- NPI assigned
- Nov 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1018829 | MA | |
| Clinical Social Worker | 1041C0700X | SW1018829 | MA | Primary |
Addresses
Primary practice location
185 Devonshire St Ste 503
Boston, MA 02110-1415
Mailing address
185 Devonshire Street Suzanne Welsh Lobacki Licsw
Suite 503
Boston, MA 02110
Phone (508) 272-3192
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P06914 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1018829 | Other | MA | LICSW |
| SW1018829 | Other | MA | SOCIAL WORK |
| 110142649A | Medicaid | MA |
Other names 1
- Suzanne Marie O'Regan
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Oct 9, 2018 through Oct 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW1018829 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700784000000",
"number": "1083786149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 DEVONSHIRE STREET SUZANNE WELSH LOBACKI LICSW",
"address_2": "SUITE 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "02110",
"telephone_number": "508-272-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 DEVONSHIRE ST STE 503",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101415",
"telephone_number": "508-272-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELSH LOBACKI",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2023-11-24",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1018829",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "SW1018829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P06914",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "1018829",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL WORK",
"identifier": "SW1018829",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110142649A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "O'REGAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.