Organization Active NPI

Susan Gershwin Licsw LLC

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1649813825
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUSAN GERSHWIN LICSW LLC
Practice address
40 Maine Ave
Easthampton, MA 01027-1595
Phone
(857) 753-6631
NPI assigned
Oct 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Susan D GershwinNPI 1124425897
Title
Owner
Phone
(857) 753-6631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

40 Maine Ave
Easthampton, MA 01027-1595

Mailing address

30354 Island Bay Unit F
Murrieta, CA 92563-7834
Phone (857) 753-6631

Other practice location 1

30354 Island Bay Unit F
Murrieta, CA 92563-7834
Phone (857) 753-6631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115000399 MA Part B Supplier - Clinic/Group Practice 8123453446 Receives reassigned benefits from 1 practitioner
Practice locations: Easthampton, MA

National Provider Directory

National Provider Directory

Locations

10 Fiske Ave
Ste 6
Greenfield, MA 01301
Phone (413) 325-4563

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1649813825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30354 ISLAND BAY UNIT F",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925637834",
            "telephone_number": "857-753-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAINE AVE",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271595",
            "telephone_number": "857-753-6631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30354 Island Bay Unit F",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925637834",
            "country_code": "US",
            "telephone_number": "857-753-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSAN GERSHWIN LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "GERSHWIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-753-6631"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.