Active NPI
Daniel Sutelman
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1760747976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 685 Commonwealth Ave
Boston, MA 02215-1406 - Phone
- (617) 620-2936
- Fax
- (617) 620-2936
- NPI assigned
- Jul 13, 2012
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
685 Commonwealth Ave
Boston, MA 02215-1406
Mailing address
685 Commonwealth Ave
Boston, MA 02215-1406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2026 through May 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1760747976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 COMMONWEALTH AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022151406",
"telephone_number": "617-620-2936",
"fax_number": "617-620-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTELMAN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-13",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.