Individual provider Active NPI

Susanne Pariente, MSW,LICSW

  • Clinical Social Worker
  • Marblehead, MA
National Provider Identifier
1629100417
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106259 Issued in MA
Practice address
1 Pleasant LN
Marblehead, MA 01945-2341
Phone
(781) 639-2039
NPI assigned
Mar 9, 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 106259 MA Primary

Addresses

Primary practice location

1 Pleasant LN
Marblehead, MA 01945-2341

Mailing address

17 Cypress St
Marblehead, MA 01945-1925
Phone (781) 396-1806

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
I20031215000031 MA Practitioner - Clinical Social Worker 6305743808 Reassigns benefits to 2 organizations
Practice locations: Salem, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6 Norman St
Salem, MA 01970-3314
Phone (781) 639-2039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hallmark Health Medical Associates Inc CurrentSince Jan 29, 2019 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients

Locations

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

101 Main St
Ste 112
Medford, MA 02155
Phone (781) 338-7270

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Organizations & group practices 2

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629100417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CYPRESS ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019451925",
            "telephone_number": "781-396-1806",
            "fax_number": "781-396-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLEASANT LN",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452341",
            "telephone_number": "781-639-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIENTE",
        "first_name": "SUSANNE",
        "name_prefix": "Ms.",
        "credential": "MSW,LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

Verify at the official NPI Registry.