Individual provider Active NPI

Susan L Foley, LICSW

  • Clinical Social Worker
  • Mashpee, MA
National Provider Identifier
1184756678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113933 Issued in MA
Practice address
400 Nathan Ellis Hwy
Suite 1
Mashpee, MA 02649-3143
Phone
(508) 477-5488
Fax
(508) 477-9334
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 113933 MA Primary

Addresses

Primary practice location

400 Nathan Ellis Hwy
Suite 1
Mashpee, MA 02649-3143

Mailing address

33 Leather Leaf LN
Mashpee, MA 02649-3345
Phone (508) 477-1492

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
I20070719000696 MA Practitioner - Clinical Social Worker 2264533314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Gosnold, Inc.Group PAC ID 5991776627, 13 clinicians

Practice addresses (Care Compare)

101 Federal St
Boston, MA 02110-1817
Phone (323) 205-7088

1185 Falmouth Rd
Centerville, MA 02632-3066
Phone (508) 540-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Common Ground Counseling & Personal Growth Center, LLC Clinical Past Accepting new patients
Mashpee Mental Health Center, Inc. Past Accepting new patients

Locations

101 Federal St
Boston, MA 02110
Phone (206) 744-8030

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184756678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEATHER LEAF LN",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493345",
            "telephone_number": "508-477-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NATHAN ELLIS HWY",
            "address_2": "SUITE 1",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026493143",
            "telephone_number": "508-477-5488",
            "fax_number": "508-477-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.