Susan Brusky, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124108 Issued in MA

Practice address

101 Great Rd Ste 374
Bedford, MA 01730-2715

Phone

(508) 474-9250

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1285294108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREAT RD STE 374",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302715",
            "telephone_number": "508-474-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GREAT RD STE 374",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302715",
            "telephone_number": "508-474-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSKY",
        "first_name": "SUSAN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Nora Brooks
• Mark Aaron Brooks, PHARMD
• Michael Brosnick, PT, DPT
• Pamela Brown, LICSW
• Vanessa Brown
• Bruce Buckley, MSW,LICSW,MT-BC
• Karen Ann Budnick, LICSW
• Terence Buico, DPT
• Emily Bukovich, MS, RDN, LDN
• Julia Burke

• Clinical Social Worker in Bedford, MA
• Providers in Bedford, 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 Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.