Individual provider Active NPI

Susan Miller Kountz, LICSW

  • Clinical Social Worker
  • Marshfield, MA
National Provider Identifier
1861546178
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
21 Autumn LN
Marshfield, MA 02050-2599
Phone
(508) 208-9225
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

21 Autumn LN
Marshfield, MA 02050-2599

Mailing address

21 Autumn LN
Marshfield, MA 02050-2599
Phone (508) 208-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001187 MA Practitioner - Clinical Social Worker 4082505201 Practice locations: Marshfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Marshfield, MA 02050
Phone (508) 208-9225

21 Autumn LN
Marshfield, MA 02050-2599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates Community Counseling Inc Past Accepting new patients
Neponset Valley Counseling Center Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1861546178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 AUTUMN LN",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502599",
            "telephone_number": "508-208-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 AUTUMN LN",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502599",
            "telephone_number": "508-208-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUNTZ",
        "first_name": "SUSAN",
        "middle_name": "MILLER",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

Verify at the official NPI Registry.