Active NPIIndividual provider

Ms. Susan M Bruce, LICSW

Social Worker, Clinical in East Boston, Massachusetts

NPI Number1114033644
Practice location
14 Porter St, East Boston, MA 02128-2116
Fax
617-569-7890
Last updated
July 8, 2007

Susan Merrill Bruce is a Social Worker, Clinical based in East Boston, MA. Susan Merrill Bruce practices in East Boston, MA and has the professional credentials of LICSW. The NPI Number for Susan Merrill Bruce is 1114033644 and holds a License No. 1025767 (MA). The current practice location address for Susan Merrill Bruce is 14 Porter St, East Boston, MA 02128-2116 and can be reached out via phone at 617-912-7575 and via fax at 617-569-7890.

Provider Profile Details

NPI Number
1114033644
Provider Name
Susan Merrill Bruce
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
14 Porter St, East Boston, MA 02128-2116
Phone Number
617-912-7575
Fax Number
617-569-7890
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Porter St
East Boston, MA 02128-2116
Zip
02128-2116
Phone Number
617-912-7575
Fax Number
617-569-7890
East Boston, MA 02128Get directions →

Provider Business Mailing Address Details

Address
285 Harvard St
#211
Cambridge, MA 02139-2335
City
Cambridge
State
MA
Zip
02139-2335
Phone Number
617-661-1996

License Information

License Number
1025767
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan M Bruce, LICSW?

The NPI number of Ms. Susan M Bruce, LICSW is 1114033644. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan M Bruce, LICSW?

Ms. Susan M Bruce, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1025767.

Where does Ms. Susan M Bruce, LICSW practice?

The practice location is 14 Porter St, East Boston, MA 02128-2116. The office can be reached at 617-912-7575 (phone) or 617-569-7890 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114033644 directly on the NPPES registry website.

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