Suzanne Carol Chutchian, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1015658 Issued in MA

Practice address

65 Oak Hill Rd
Southborough, MA 01745-1014

Phone

(508) 624-6521

Fax

(508) 624-6521

NPI assigned

Dec 30, 2009

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Castlebrook Counseling Services, Inc.

  • Clinical Social Worker
  • Westborough, MA
  • NPI 1982045860
  Medicare reassignment NPD

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1093045874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 OAK HILL RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017451014",
            "telephone_number": "508-624-6521",
            "fax_number": "508-624-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 OAK HILL RD",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017451014",
            "telephone_number": "508-624-6521",
            "fax_number": "508-624-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUTCHIAN",
        "first_name": "SUZANNE",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christabella N Cherubino, D.C.
• Grace Cherubino, DC
• Ronald Cherubino, D.C.
• Lisa Chu
• Mai Chu, O.D.
• Megan Cicolello
• Mary Cimen
• Gabrielle Alexandra Clark
• Melissa Clark
• Brittany Clocker

• Clinical Social Worker in Southborough, MA
• Providers in Southborough, 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 Dec 30, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.