Susanne D Hughes, LICSW

Individual provider Active NPI Clinical Social Worker · Harwich, MA

NPI 1780168062 · NPPES record last updated Sep 21, 2018

Key facts

NPI
1780168062
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
102542 (MA)
Practice address
28 Harding LN
Harwich, MA 02645-2161
Phone
(774) 237-0932
NPI assigned
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
102542MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 102542 MA Yes

Addresses

Primary practice location

28 Harding LN
Harwich, MA 02645-2161

Mailing address

28 Harding LN
Harwich, MA 02645-2161
Phone (774) 237-0932

Other identifiers

IdentifierTypeStateIssuer
102542OtherMASOCIAL WORK LICENSE

Other providers in Harwich, MA

All providers in Harwich, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.