Laura Susanin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114154 Issued in MA

Practice address

182 Turnpike Rd
Ste 101
Westborough, MA 01581-2830

Phone

(508) 475-9110

Fax

(508) 422-9730

NPI assigned

Sep 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Behavioral Nutrition Inc

  • Mental Health Counselor
  • Quincy, MA
  • NPI 1851686455
  NPD (past)

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443225600000",
    "number": "1740650274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 TURNPIKE RD",
            "address_2": "STE 101",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812830",
            "telephone_number": "508-475-9110",
            "fax_number": "508-422-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 TURNPIKE RD",
            "address_2": "STE 101",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812830",
            "telephone_number": "508-475-9110",
            "fax_number": "508-422-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSANIN",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Strassberg, PH.D
• Rachel Ann Stroh, FNP-BC
• Elaine A. Sugarman, M.S.
• Joanne Sullivan, M.D.
• Denise Summers, BS, PHARM.D
• Suter Massachusetts PLLC
• Suzanne Lucash O.D. PLLC
• Suzanne Lucash, O.D.
• Brushetta Swindell
• Synergy Life, Inc.

• Clinical Social Worker in Westborough, MA
• Providers in Westborough, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.