Active NPI
Susan A. Wangerman, MA, LSW, LMHC
- Social Worker
- Orleans, MA
National Provider Identifier
1790886752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3025778
- Practice address
- 25 Chase LN
Orleans, MA 02653-3103 - Phone
- (508) 255-3866
- Fax
- (508) 255-3790
- NPI assigned
- Sep 25, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4068 | MA | |
| Social Worker | 104100000X | 3025778 | MA | Primary |
Addresses
Primary practice location
25 Chase LN
Orleans, MA 02653-3103
Mailing address
PO Box 2366
Orleans, MA 02653-6366
Phone (508) 255-3866
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BC/BS OF MA | Other | MA | ALL PRODUCTS |
| 1895052 | Medicaid | MA | |
| 354857 | Other | MA | TRICARE/CHAMPUS |
| 454542 | Other | MA | TUFTS HEALTH |
Other names 1
- Mrs. Susan Wangerman Berson
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3025778 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1790886752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2366",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026536366",
"telephone_number": "508-255-3866",
"fax_number": "508-255-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CHASE LN",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026533103",
"telephone_number": "508-255-3866",
"fax_number": "508-255-3790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANGERMAN",
"first_name": "SUSAN",
"middle_name": "A.",
"name_prefix": "Miss",
"credential": "MA, LSW, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4068",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "3025778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL PRODUCTS",
"identifier": "BC/BS OF MA",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1895052",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "354857",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "454542",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "BERSON",
"middle_name": "WANGERMAN",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Orleans, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.