Individual provider Active NPI

Susan C. Crimmins, L.I.C.S.W.

  • Clinical Social Worker
  • Milford, MA
National Provider Identifier
1346347606
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
112113 Issued in MA
Practice address
409 Fortune Blvd
Milford
Milford, MA 01757-1741
Phone
(508) 473-7400
NPI assigned
Sep 20, 2006
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 112113 MA Primary

Addresses

Primary practice location

409 Fortune Blvd
Milford
Milford, MA 01757-1741

Mailing address

409 Fortune Blvd Ste 101
Milford, MA 01757-1741
Phone (978) 335-8036

Other names 1

  • Mrs. Susan C. Stades Former name

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
I20050127000680 MA Practitioner - Clinical Social Worker 4385694314 Practice locations: Milford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

409 Fortune Blvd
Suite 101
Milford, MA 01757-1741
Phone 50847374000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112113MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Veterans Inc Clinical CurrentSince Jul 4, 2016 Accepting new patients
Northeast Behavioral Health Corporation PastSince May 8, 2017 Accepting new patients
Milford-Franklin Counseling Services, Inc. Clinical Past Accepting new patients
Susan Crimmins Licsw Clinical Past Accepting new patients
Veterans Inc PastSince Jul 4, 2016 Accepting new patients
Milford Franklin Counseling Services Inc Clinical Past Accepting new patients

Locations

59 South St
Shrewsbury, MA 01545
Phone (508) 845-6176

69 Grove St
Worcester, MA 01605
Phone (508) 791-1213

Organizations & group practices 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1346347606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD STE 101",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741",
            "telephone_number": "978-335-8036",
            "fax_number": "508-473-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 FORTUNE BLVD",
            "address_2": "MILFORD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571741",
            "telephone_number": "508-473-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIMMINS",
        "first_name": "SUSAN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "112113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STADES",
            "middle_name": "C.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.