Organization Active NPI

Susan L. Perry, Licsw, P.C.

  • Clinical Social Worker
  • New Bedford, MA
National Provider Identifier
1801002159
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104735 Issued in MA
Legal business name
SUSAN L. PERRY, LICSW, P.C.
Practice address
388 County St
New Bedford, MA 02740-4992
Phone
(508) 979-8300
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan L Perry I, LICSW
Title
Ceo
Phone
(508) 979-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 104735 MA Primary

Addresses

Primary practice location

388 County St
New Bedford, MA 02740-4992

Mailing address

388 County St
New Bedford, MA 02740-4992
Phone (508) 979-8300

National Provider Directory

National Provider Directory

Locations

388 County St
New Bedford, MA 02740
Phone (508) 979-8300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1801002159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404992",
            "telephone_number": "508-979-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 COUNTY ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404992",
            "telephone_number": "508-979-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L. PERRY, LICSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-979-8300",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.