Individual provider Active NPI

Susan Perry Silveira, MSW

  • Clinical Social Worker
  • Brookline, MA
National Provider Identifier
1467505875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1015711 Issued in MA
Practice address
1415 Beacon St Ste 200
Brookline, MA 02446-4821
Phone
(617) 734-6500
Fax
(617) 739-3510
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1015711 MA Primary

Addresses

Primary practice location

1415 Beacon St Ste 200
Brookline, MA 02446-4821

Mailing address

1415 Beacon St Ste 200
Brookline, MA 02446-4821
Phone (617) 734-6500

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
I20051024000762 MA Practitioner - Clinical Social Worker 5193741676 Practice locations: Brookline, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1415 Beacon St
Suite 200
Brookline, MA 02446-4819
Phone (617) 734-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467505875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST STE 200",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464821",
            "telephone_number": "617-734-6500",
            "fax_number": "617-739-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST STE 200",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464821",
            "telephone_number": "617-734-6500",
            "fax_number": "617-739-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEIRA",
        "first_name": "SUSAN",
        "middle_name": "PERRY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.