Individual provider Active NPI

Suzanne M. Staples, LCSW

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1699442137
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC22655 Issued in ME
Practice address
9 Bay View Ave
Plymouth, MA 02360-2920
Phone
(617) 866-8973
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127098 MA
Clinical Social Worker 1041C0700X LC22655 ME Primary

Addresses

Primary practice location

9 Bay View Ave
Plymouth, MA 02360-2920

Mailing address

35 Pine Ridge Rd
Saco, ME 04072-2120
Phone (617) 866-8973

Other practice location 1

68 Bishop Street
Portland, ME 04103-2681
Phone (617) 866-8973

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
I20240326002531 MA Practitioner - Clinical Social Worker 4587001557 Practice locations: Plymouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Plymouth, MA 02360
Phone (617) 866-8973

163 Sandwich St
Plymouth, MA 02360-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127098MAMDClinical Social Worker
LC22655MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Burleigh LCSW LLC Clinical PastSince Nov 26, 2023 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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1699442137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PINE RIDGE RD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722120",
            "telephone_number": "617-866-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BAY VIEW AVE",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602920",
            "telephone_number": "617-866-8973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Bishop Street",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041032681",
            "country_code": "US",
            "telephone_number": "617-866-8973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127098",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC22655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.