Individual provider Active NPI

Susan D Gershwin, LICSW

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1124425897
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
116959 Issued in MA
Practice address
40 Maine Ave
Easthampton, MA 01027-1595
Phone
(857) 753-6631
NPI assigned
Nov 25, 2014
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 116959 MA Primary

Addresses

Primary practice location

40 Maine Ave
Easthampton, MA 01027-1595

Mailing address

30354 Island Bay Unit F
Murrieta, CA 92563-7834
Phone (857) 753-6631

Other practice location 1

30354 Island Bay Unit F
Murrieta, CA 92563-7834
Phone (857) 753-6631

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150527001613 MA Practitioner - Clinical Social Worker 6800116211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

40 Maine Ave
Easthampton, MA 01027-1595
Phone (857) 753-6631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116959MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Gershwin Licsw LLC Clinical CurrentSince Nov 9, 2019 Accepting new patients
Clinical & Support Options, Inc CurrentSince Dec 12, 2014 Accepting new patients
Lotus Blossom Counseling LLC Clinical PastSince Nov 7, 2025 Accepting new patients

Locations

40 Maine Ave
Easthampton, MA 01027
Phone (413) 212-9515

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

10 Fiske Ave
Ste 6
Greenfield, MA 01301
Phone (413) 325-4563

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1124425897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30354 ISLAND BAY UNIT F",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637834",
            "telephone_number": "857-753-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAINE AVE",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271595",
            "telephone_number": "857-753-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30354 Island Bay Unit F",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925637834",
            "country_code": "US",
            "telephone_number": "857-753-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERSHWIN",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.