Susan Lobosco

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MC11302 Issued in ME

Practice address

107 India St
Portland, ME 04101-4211

Phone

(207) 272-6855

Fax

(207) 775-2255

NPI assigned

Apr 14, 2010

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

Other identifiers 1

Other names 1

• Susan Slotnick-Lobosco Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1962728055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRICKHILL AVE",
            "address_2": "MAPS-LOWER LEVEL",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041061999",
            "telephone_number": "207-272-6853",
            "fax_number": "207-775-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 INDIA ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014211",
            "telephone_number": "207-272-6855",
            "fax_number": "207-775-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBOSCO",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "MC11302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435409099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SLOTNICK-LOBOSCO",
            "credential": "MSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Livevital Physical Therapy & Performance
• Brian H Livingston, M.D.
• Aaron Robert Lloyd, MD
• Rachel Conrad Lloyd, MA, CCC-SLP
• Sheilah Natalie Lloyd, MS, PMHNP
• Amanda Allene Lochte, PT, DPT
• Janice E Locke, CNP
• McKenzie Locker, MD
• Patrice D Lockhart, M.D.
• Katrina V Loef, LCPC

• Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.