Suzanne Sherman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117570 Issued in MA

Practice address

111 Old Rd 9 Acre Cor
Concord, MA 01742-4141

Phone

(978) 369-1113

Fax

(978) 369-0908

NPI assigned

Jul 29, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eliot Community Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, MA
  • NPI 1679648182
  Medicare reassignment NPD
• Eliot Community Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, MA
  • NPI 1932271632
  NPD
• My Health101 PC

  • Psychiatry Physician
  • Arlington, MA
  • NPI 1750760211
  NPD (past)

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1891170957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OLD RD 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424141",
            "telephone_number": "978-369-1113",
            "fax_number": "978-369-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OLD RD 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424141",
            "telephone_number": "978-369-1113",
            "fax_number": "978-369-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "SUZANNE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahab Shayesteh, MD
• Jennifer Shea, LICSW
• Michael Shear, M.D.
• Nicole Sheehan
• David A Sherman, M.D.
• Virginia Sherwood, PHD
• Shields Pet-CT at Emerson Hospital LLC
• Patricia A Shinin, DMD
• Sharon Shung
• Kimberly Shurling, OTR/L

• Clinical Social Worker in Concord, MA
• Providers in Concord, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.