Susan Bokor Nadas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C002246 Issued in NC

Practice address

875 Massachusetts Ave Ste 83
Cambridge, MA 02139-3071

Phone

(617) 999-8458

Fax

(919) 782-7056

NPI assigned

Nov 29, 2006

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 25, 2024 through Oct 25, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1932276730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 83",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393071",
            "telephone_number": "617-999-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 83",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393071",
            "telephone_number": "617-999-8458",
            "fax_number": "919-782-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3733 National Dr",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276124065",
            "country_code": "US",
            "telephone_number": "919-782-0760",
            "fax_number": "919-782-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADAS",
        "first_name": "SUSAN",
        "middle_name": "BOKOR",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra L. Myles, LICSW #100605
• Justin James Myrah, MD
• N.R. Chandrasekar, M.D., P.C.
• Robert Nicholas Nace, M.D.
• Mireya F Nadal-Vicens, M.D., PH.D.
• Jessica Naddaff
• Jana Naef, M.D.
• Mary Naff
• Rama Priyanka Nagireddi, MD
• Byung Min Nahm, DMD

• Clinical Social Worker in Cambridge, MA
• Providers in Cambridge, 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 Mar 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.