Suzanne Rowe Wilson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113133 Issued in MA

Practice address

119 Hamilton Ave
Quincy, MA 02171-2811

Phone

(617) 328-6050

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family and Community Resources, Inc.

  • Community/Behavioral Health Agency
  • Brockton, MA
  • NPI 1821159880
  NPD (past)
• Whitman Counseling

  • Exclusive Provider Organization
  • Whitman, MA
  • NPI 1194051524
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821151002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HAMILTON AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712811",
            "telephone_number": "617-328-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HAMILTON AVE",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712811",
            "telephone_number": "617-328-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SUZANNE",
        "middle_name": "ROWE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "113133",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie E Willis
• Judith Willison, MSW, LICSW
• April Tamika Wilson
• Kayla Wilson
• Susan Rue Wilson, ED.D.
• Wynston A Wilson, M.ED.
• Steven Windwer, DC, RPT
• Pamela A. Wineman, M.A.
• Neka S Winston, RBT-23-303329
• Hannah Winter

• All providers in Quincy, MA
• Clinical Social Worker in Massachusetts

• 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.

Verify at the official NPI Registry.