Susan S Lederer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103841 Issued in MA

Practice address

94 Pleasant St
Suite 3
Arlington, MA 02476-6535

Phone

(781) 646-4749

Fax

(781) 779-1688

NPI assigned

Aug 31, 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lynnfield Psychological Associates, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Lynnfield, MA
  • NPI 1518011220
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972615565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 PLEASANT ST",
            "address_2": "SUITE 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024766535",
            "telephone_number": "781-646-4749",
            "fax_number": "781-779-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 PLEASANT ST",
            "address_2": "SUITE 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024766535",
            "telephone_number": "781-646-4749",
            "fax_number": "781-779-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDERER",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Kathleen Lawler
• Barbara A Lawnicki, DMD
• Eric James Leach, PT, DPT
• Marjorie Leary, P.T.
• Noelle Leblanc
• Aaron Changgun Lee, RPH
• Brittany Lee, DPT
• Hee Jae Lee, RD
• Susan J. Lee, PSY.D.
• Szu Hui Lee, PH.D.

• Clinical Social Worker in Arlington, MA
• Providers in Arlington, 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 8, 2007; 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.