Individual provider Active NPI

Susan Wetherbee Doyle II, LICSW

  • School Social Worker
  • Fitchburg, MA
National Provider Identifier
1831230721
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
1024901-SW-LICSW Issued in MA
Practice address
270 Airport Rd
Fitchburg, MA 01420-8114
Phone
(978) 665-2976
Fax
(978) 665-2980
NPI assigned
Feb 12, 2007
Last updated
Sep 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 1024901-SW-LICSW MA Primary

Addresses

Primary practice location

270 Airport Rd
Fitchburg, MA 01420-8114

Mailing address

962 Main St
Leominster, MA 01453-1908
Phone (978) 537-2827

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

State licenses

LicenseStateTypeSpecialty
1024901-SW-LICSWMAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1831230721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 MAIN ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531908",
            "telephone_number": "978-537-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 AIRPORT RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014208114",
            "telephone_number": "978-665-2976",
            "fax_number": "978-665-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SUSAN",
        "middle_name": "WETHERBEE",
        "name_prefix": "Ms.",
        "name_suffix": "II",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "1024901-SW-LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.