Susanna K Daniel, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

28 Elm St
Andover, MA 01810-3633

Phone

(617) 901-9284

Fax

(781) 465-6027

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2023.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1891830865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W WINKLEY ST",
            "address_2": "# A",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132210",
            "telephone_number": "617-901-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ELM ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103633",
            "telephone_number": "617-901-9284",
            "fax_number": "781-465-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SUSANNA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrianna M D'Onofrio, ATC
• Judy Daggett
• Eduardo O Dagostino, MD
• Julie L Dalton, NP
• Daniel R. Morocco, Ed.D., P.C.
• Rachel Davis Daniels, MS, OTR/L, ATP
• Alexandra Danner, MSW
• David Rainen, PSYD LLC
• Marie-Christine David, DO
• Ellen Edwards Davidson, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.