Active NPI
Susan Lee
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1376030544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 112007
- Practice address
- 53 Parker Hill Ave
Boston, MA 02120-3225 - Phone
- (617) 278-4197
- NPI assigned
- Apr 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112007 | MA | Primary |
Addresses
Primary practice location
53 Parker Hill Ave
Boston, MA 02120-3225
Mailing address
100 Summer St Apt 1-3
Watertown, MA 02472-3817
Phone (617) 970-0710
Other practice location 1
53 Parker Hill Ave
Boston, MA 02120-3225
Phone (617) 278-4197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112007 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judge Baker Children'S Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Boston, MA
- NPI 1629559059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523577600000",
"number": "1376030544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SUMMER ST APT 1-3",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024723817",
"telephone_number": "617-970-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 PARKER HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021203225",
"telephone_number": "617-278-4197"
}
],
"practiceLocations": [
{
"address_1": "53 Parker Hill Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021203225",
"country_code": "US",
"telephone_number": "617-278-4197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-13",
"last_updated": "2018-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "112007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.