Susan G Falkoff, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106184 Issued in MA

Practice address

173 Mount Auburn St
Watertown, MA 02472-4005

Phone

(617) 926-8086

Fax

(617) 926-8086

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

Yes

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)

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.

• Colony Care Inc

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1720053408
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487713285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OLIVER ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724714",
            "telephone_number": "617-924-5723",
            "fax_number": "617-926-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724005",
            "telephone_number": "617-926-8086",
            "fax_number": "617-926-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALKOFF",
        "first_name": "SUSAN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Burns Counseling, LLC
• Empire Vision Center Inc
• Elif Engin, PHD
• Anne Essaran, MSW, LICSW
• Kristi Faby
• Siobhan Fallon
• Alyssa Leigh Famiglietti
• Fantasia, Failla, and Defrancesco Family Dentistry
• Philip Dominic Fantasia Jr., DDS
• Jacquelyn Farrell, OTR/L

• Clinical Social Worker in Watertown, MA
• Providers in Watertown, 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 Jul 8, 2007; 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.