Individual provider Active NPI

Suzanne Pavlos, LICSW

  • Clinical Social Worker
  • Quincy, MA
National Provider Identifier
1760513261
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111702 Issued in MA
Practice address
1 Brook Rd Unit 313
Quincy, MA 02169-4985
Phone
(978) 580-5522
NPI assigned
Mar 8, 2007
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 111702 MA Primary

Addresses

Primary practice location

1 Brook Rd Unit 313
Quincy, MA 02169-4985

Mailing address

1 Brook Rd Unit 313
Quincy, MA 02169-4985
Phone (978) 580-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040924000925 MA Practitioner - Clinical Social Worker 3779552997 Reassigns benefits to 1 organization
Practice locations: Quincy, MA
I20240301000481 TX Practitioner - Clinical Social Worker 3779552997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111702MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jan 17, 2024 Accepting new patients
Outer Cape Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Outer Cape Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Cherokee Nation CurrentSince Jan 17, 2024 Accepting new patients
Outer Cape Health Services Past Accepting new patients

Locations

49 Harry Kemp Way
Provincetown, MA 02657
Phone (508) 487-9395

3130 State Hwy Rte 6
Wellfleet, MA 02667
Phone (508) 349-3131

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1760513261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOK RD UNIT 313",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694985",
            "telephone_number": "978-580-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOK RD UNIT 313",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694985",
            "telephone_number": "978-580-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOS",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.