Susan Widdicombe Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN WIDDICOMBE THERAPY, PLLC

Practice address

1371 Beacon St Ste 305
Brookline, MA 02446-4905

Phone

(617) 658-3295

NPI assigned

Jun 15, 2026

Organization subpart

No

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

Authorized official

Name

Susan Widdicombe, LICSWNPI 1114605375

Title

Mental Health Therapist

Phone

(617) 943-7634

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Widdicombe, LICSW

  • Clinical Social Worker
  • Boston, MA
  • NPI 1114605375
  NPD Authorized official

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1558296418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WENDELL AVE STE 100",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 BEACON ST STE 305",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464905",
            "telephone_number": "617-658-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WIDDICOMBE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-14",
        "status": "A",
        "authorized_official_last_name": "WIDDICOMBE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "617-943-7634",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junghan Suh
• Elena Sullivan, PA-C
• Cara Sullo, CCC-SLP
• Dyanna C Sun, NURSE PRACTITIONER
• Susan Mann, MD, LLC
• Lisa J. Sutton, PH.D., LICSW
• Leila El-Youssef Suwwan, D.M.D.
• Bruce H Suzuki, M.D.
• Abigail Sveden, MS, CGC
• Elinor Svenson

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, 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 Jun 15, 2026; 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.