Susanne Halliday, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Springfield, MA
NPI 1699862607 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699862607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 110261 (MA)
- Practice address
- 503 State St
Springfield, MA 01109-4101 - Phone
- (413) 733-6661
- Fax
- (413) 733-7841
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Behavioral Health Network Inc
Practice addresses (Care Compare)
40 Bobala Rd
Holyoke, MA 01040-9632
Phone (413) 536-5473
417 Liberty St
Springfield, MA 01104-3736
Phone (413) 736-3668
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051012000872 | MA | Practitioner - Clinical Social Worker | 4981629557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110261 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Network, Inc | Current |
Accepting new patients | |
| Behavioral Health Network Inc | Current |
Accepting new patients | |
| Mspcc Mass Society of Prevention of Crualty to Children | Past | Accepting new patients | |
| Massachusetts Society for the Prevention of Cruelty to Children | Past |
Accepting new patients |
Locations
40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473
110 Maple St
Springfield, MA 01105
Phone (413) 846-4300
503 State St
Springfield, MA 01109
Phone (413) 733-6661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 110261 | MA | Yes |
Addresses
Primary practice location
503 State St
Springfield, MA 01109-4101
Mailing address
134 Ferncliff Ave
Springfield, MA 01119-2504
Phone (413) 783-9771
Other providers in Springfield, MA
- Natalie Ann Hall
- Sherri S Hall
- Stephen Vincent Hall
- Rebecca Halle
- Annabel Authier Hallgren
- Anastasia M. Hallisey
- Emma Laureen Halloran
- Jennifer A Hallowell
- Amanda Haluch
- Matthew John Haluch
All providers in Springfield, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.