Organization Active NPI

Debbie Hardwick-Sutcliffe, LLC

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1740645837
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118455 Issued in MA
Legal business name
DEBBIE HARDWICK-SUTCLIFFE, LLC
Practice address
2 Enon St
2ND Floor
Beverly, MA 01915-1164
Phone
(978) 778-8288
Fax
(978) 914-7958
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Debbie Hardwick-Sutcliffe, LICSW
Title
Owner/Provider
Phone
(978) 778-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 118455 MA Primary

Addresses

Primary practice location

2 Enon St
2ND Floor
Beverly, MA 01915-1164

Mailing address

2 Enon St
2ND Floor
Beverly, MA 01915-1164
Phone (978) 778-8288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151218000978 MA Part B Supplier - Clinic/Group Practice 0941501852 Receives reassigned benefits from 1 practitioner
Practice locations: Ipswich, MA

National Provider Directory

National Provider Directory

Locations

2 Enon St
Ste 2
Beverly, MA 01915
Phone (978) 778-8288

Practitioners & affiliated clinicians

Practitioners 1

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1740645837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ENON ST",
            "address_2": "2ND FLOOR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151164",
            "telephone_number": "978-778-8288",
            "fax_number": "978-914-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ENON ST",
            "address_2": "2ND FLOOR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151164",
            "telephone_number": "978-778-8288",
            "fax_number": "978-914-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE HARDWICK-SUTCLIFFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "HARDWICK-SUTCLIFFE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "978-778-8288",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118455",
            "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 Dec 16, 2015; 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.