Suzanne Mara Peters, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115415 Issued in MA

Practice address

300 Howard St
Framingham, MA 01702-8313

Phone

(508) 620-2645

NPI assigned

Sep 4, 2007

Last updated

Aug 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 7, 2021 through Jan 7, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jewish Family Service of Metrowest

  • Community/Behavioral Health Agency
  • Framingham, MA
  • NPI 1164637740
  NPD (past)

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312588800000",
    "number": "1750575791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOWARD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028313",
            "telephone_number": "508-620-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOWARD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028313",
            "telephone_number": "508-620-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "SUZANNE",
        "middle_name": "MARA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2011-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Isabelle Pestana I
• Pet-CT Services by Tufts Medical Center and Shields LLC (Metrowest PET/CT at Shields Framingham in Affliation with Tufts Medica)
• Anya Peters, APRN
• Heidi Peters, N.P.
• Lindsay Peters, M.S., BCBA
• Karley Marie Petersen
• Annabel Peterson
• Rachel Gebert Peterson
• Elizabeth A Petillo
• Shawn Petkewich

• Clinical Social Worker in Framingham, MA
• Providers in Framingham, 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 Aug 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.