Active NPI
Suzanne Pavlos, LICSW
- Clinical Social Worker
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111702
- Practice address
- 1 Brook Rd Unit 313
Quincy, MA 02169-4985 - Phone
- (978) 580-5522
- NPI assigned
- Mar 8, 2007
- Last updated
- Mar 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 | 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111702 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Outer Cape Health Services, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Outer Cape Health Services, Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Provincetown, MA
- NPI 1841384013
-
- Federally Qualified Health Center (FQHC)
- Wellfleet, MA
- NPI 1114774445
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
-
- Federally Qualified Health Center (FQHC)
- Wellfleet, MA
- NPI 1578726790
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.