Susan Clement

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12160 Issued in MA

Practice address

19 Pine Rd
Forestdale, MA 02644-1413

Phone

(774) 228-2420

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Odonata Psychotherapy & Retreat Center LLC

  • Clinical Social Worker
  • Buzzards Bay, MA
  • NPI 1902285414
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1376945949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PINE RD",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PINE RD",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441413",
            "telephone_number": "774-228-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "12160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew M Bonwit, MD
• Gabrielle G Bray, MS OTR/L
• Erin Burritt, OT, OTD, OTR
• Cape Cod Pediatrics LLP
• Cape Cod Psychology, LLC
• Katherine Schaefer Cooney, OTR/L
• Ann M Deweer Aviles, M.D.
• Robert H Dimitri, PHD
• Lindsay Drouillard, CCC-SLP
• Judy M. Duarte, CPNP

• Addiction (Substance Use Disorder) Counselor in Forestdale, MA
• Providers in Forestdale, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.