Active NPI
Susan Marian Haskell, LICSW
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1770649683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 100230
- Practice address
- 135 W Concord St
Boston, MA 02118-1507 - Phone
- (617) 421-1847
- Fax
- (617) 267-9563
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 100230 | MA | Primary |
Addresses
Primary practice location
135 W Concord St
Boston, MA 02118-1507
Mailing address
135 W. Concord St.
Boston, MA 02118
Phone (617) 421-1847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100230 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770649683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W. CONCORD ST.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02118",
"telephone_number": "617-421-1847",
"fax_number": "617-267-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W CONCORD ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021181507",
"telephone_number": "617-421-1847",
"fax_number": "617-267-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASKELL",
"first_name": "SUSAN",
"middle_name": "MARIAN",
"name_prefix": "Dr.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "100230",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.