Susan Cloran Taterka, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113609 Issued in MA

Practice address

85 Algonquin Rd
Chestnut Hill, MA 02467-1001

Phone

(617) 916-1083

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1184774317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ALGONQUIN RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671001",
            "telephone_number": "617-916-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ALGONQUIN RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671001",
            "telephone_number": "617-916-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Haven Street",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "MA",
            "postal_code": "02030",
            "country_code": "US",
            "telephone_number": "774-893-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATERKA",
        "first_name": "SUSAN",
        "middle_name": "CLORAN",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "8605",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Taglieri-Noble I, DPT
• Meredith Welles Talbot, M.D.
• Tingwa Tam
• Michael Blair Tantillo, MD
• Olga Tarantseva
• Kathryn Taylor, STUDENT
• Rute Teixeira, MSN, APRN, FNP-C
• Jacquelyn Temple, RN
• Faina Teperman
• The Cancer Center of Boston, Inc.

• Clinical Social Worker in Chestnut Hill, MA
• Providers in Chestnut Hill, 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 27, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.