Individual provider Active NPI

Suzanne Rowe Wintner, LICSW, MSW

  • Clinical Social Worker
  • Somerville, MA
National Provider Identifier
1609176403
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113997 Issued in MA
Practice address
5 Hall Ave
Somerville Mental Health Association Adult Services
Somerville, MA 02144-2003
Phone
(617) 623-3278
NPI assigned
Oct 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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 113997 MA Primary

Addresses

Primary practice location

5 Hall Ave
Somerville Mental Health Association Adult Services
Somerville, MA 02144-2003

Mailing address

5 Hall Ave
Somerville Mental Health Association Adult Services
Somerville, MA 02144-2003
Phone (617) 623-3278

Other names 1

  • Suzanne Michele Lepage Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Somerville Mental Health Association, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1609176403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HALL AVE",
            "address_2": "SOMERVILLE MENTAL HEALTH ASSOCIATION ADULT SERVICES",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442003",
            "telephone_number": "617-623-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HALL AVE",
            "address_2": "SOMERVILLE MENTAL HEALTH ASSOCIATION ADULT SERVICES",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442003",
            "telephone_number": "617-623-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTNER",
        "first_name": "SUZANNE",
        "middle_name": "ROWE",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "LEPAGE",
            "middle_name": "MICHELE",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.