Active NPI
Susan G. Mikesell, PHD; LICSW
- Clinical Social Worker
- Beverly, MA
National Provider Identifier
1710989645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111938
- Practice address
- 8 Thorndike St
Beverly, MA 01915-5858 - Phone
- (978) 462-2890
- Fax
- (978) 462-2890
- NPI assigned
- Aug 11, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111938 | MA | Primary |
Addresses
Primary practice location
8 Thorndike St
Beverly, MA 01915-5858
Mailing address
143 State St
Newburyport, MA 01950-6621
Phone (978) 462-2890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harborside of Newburyport, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Harborside Counseling Services
- Mental Health Counselor
- Newburyport, MA
- NPI 1952407074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710989645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 STATE ST",
"city": "NEWBURYPORT",
"state": "MA",
"postal_code": "019506621",
"telephone_number": "978-462-2890",
"fax_number": "978-462-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 THORNDIKE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155858",
"telephone_number": "978-462-2890",
"fax_number": "978-462-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKESELL",
"first_name": "SUSAN",
"middle_name": "G.",
"credential": "PHD; LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.