Individual provider Active NPI

Susan Tognazzi

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1609500453
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1120794 Issued in MA
Practice address
100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107
Phone
(978) 922-2280
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 LICSW1120794 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 307E
Beverly, MA 01915-6107

Mailing address

15 Oakland St Apt 3
Salem, MA 01970-1583
Phone (978) 810-1409

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
I20250219000901 MA Practitioner - Clinical Social Worker 3072033224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Counseling Center IncGroup PAC ID 8628138153, 12 clinicians

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 307E
Beverly, MA 01915-6107
Phone (978) 922-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1120794MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Jan 23, 2025 Accepting new patients
North Shore Counseling Center Inc Clinical CurrentSince Mar 17, 2025 Accepting new patients
North Shore Counseling Center Inc CurrentSince Sep 21, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 307E
Beverly, MA 01915
Phone (978) 922-2280

199 Rosewood Dr
Ste 300
Danvers, MA 01923
Phone (978) 291-7066

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1609500453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OAKLAND ST APT 3",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701583",
            "telephone_number": "978-810-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 307E",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156107",
            "telephone_number": "978-922-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGNAZZI",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.