Individual provider Active NPI

Susan Margaret Ramondetta, LICSW

  • Clinical Social Worker
  • Bridgewater, MA
National Provider Identifier
1912201542
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114158 Issued in MA
Practice address
1029 Pleasant St Ste 101
Bridgewater, MA 02324-2473
Phone
(508) 697-1070
Fax
(508) 697-1020
NPI assigned
Dec 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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 114158 MA Primary

Addresses

Primary practice location

1029 Pleasant St Ste 101
Bridgewater, MA 02324-2473

Mailing address

40 Industrial Park Rd
Plymouth, MA 02360-4884
Phone (508) 732-3000

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
I20110512000012 MA Practitioner - Clinical Social Worker 3577749373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Plymouth County Behavioral Health LLCGroup PAC ID 9335242510, 2 clinicians

Practice addresses (Care Compare)

1029 Pleasant St
Bridgewater, MA 02324-2472
Phone (508) 697-1070

81 Samoset St
Plymouth, MA 02360-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114158MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth County Behavioral Health LLC CurrentSince Feb 1, 2011 Accepting new patients

Locations

81 Samoset St
Ste 3
Plymouth, MA 02360
Phone (508) 830-0012

81 Samoset St
Plymouth, MA 02360
Phone (508) 747-0587

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": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1912201542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 INDUSTRIAL PARK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604884",
            "telephone_number": "508-732-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 PLEASANT ST STE 101",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242473",
            "telephone_number": "508-697-1070",
            "fax_number": "508-697-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMONDETTA",
        "first_name": "SUSAN",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.