Susan Wisnhip Koenig, LICSW
Individual provider Active NPI Social Worker · Lincoln, MA
NPI 1114538428 · NPPES record last updated Aug 11, 2020
Key facts
- NPI
- 1114538428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 117726004 (MA)
- Practice address
- 10 Meadowdam Rd
Lincoln, MA 01773-3811 - Phone
- (781) 424-8774
- Fax
- (781) 424-8774
- NPI assigned
- Aug 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117726004 | MA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 117726004 | MA | Yes |
Addresses
Primary practice location
10 Meadowdam Rd
Lincoln, MA 01773-3811
Mailing address
10 Meadowdam Rd
Lincoln, MA 01773-3811
Phone (781) 424-8774
Other providers in Lincoln, MA
- Leeann Wojnowski Horner
- Youjin Natalie Jeong
- Megan Jones
- Deborah C Kahn
- Jean E Klig
- Lincoln Crossing Dental Associates, PC
- Lincoln Physicians, P.C.
- Lincoln Public Schools
- Nicole Lynch
- Stacy Sheffield Mach
All providers in Lincoln, MA · Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.