Individual provider Active NPI

Suzanne Brennan-Nathan, LICSW

  • Clinical Social Worker
  • Newton Highlands, MA
National Provider Identifier
1659441319
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105604 Issued in MA
Practice address
34 Lincoln St
Newton Highlands, MA 02461-1507
Phone
(617) 964-1060
Fax
(617) 630-0381
NPI assigned
Nov 9, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 105604 MA
Mental Health Counselor 101YM0800X 105604 MA
Clinical Social Worker 1041C0700X 105604 MA Primary

Addresses

Primary practice location

34 Lincoln St
Newton Highlands, MA 02461-1507

Mailing address

11 Gibbs St
#3
Brookline, MA 02446-6001
Phone (617) 964-1060

Other names 1

  • Ms. Suzanne Brennan Former name

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
I20031118000279 MA Practitioner - Clinical Social Worker 2769396340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waltham Behavioral Health LLCGroup PAC ID 7315233822, 8 clinicians

Practice addresses (Care Compare)

210 Bear Hill Rd
Waltham, MA 02451-1025
Phone (781) 966-0070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105604MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waltham Behavioral Health LLC Mental Health CurrentSince Sep 26, 2018 Accepting new patients
Sameem Behavioral Health, LLC Addiction (Substance Use Disorder) PastSince Apr 30, 2023 Accepting new patients
Sameem Associates Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

210 Bear Hill Rd
Ste 202
Waltham, MA 02451
Phone (781) 966-0070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1659441319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GIBBS ST",
            "address_2": "#3",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466001",
            "telephone_number": "617-964-1060",
            "fax_number": "617-630-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LINCOLN ST",
            "city": "NEWTON HIGHLANDS",
            "state": "MA",
            "postal_code": "024611507",
            "telephone_number": "617-964-1060",
            "fax_number": "617-630-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN-NATHAN",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "105604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "105604",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "BRENNAN",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newton Highlands, MA

Sources for this page

Verify at the official NPI Registry.