Active NPIIndividual providerSole proprietor

Mrs. Susan C Taterka, LICSW

Social Worker, Clinical in Chestnut Hill, Massachusetts

NPI Number1184774317
Practice location
85 Algonquin RD, Chestnut Hill, MA 02467-1001
Fax
—
Last updated
December 27, 2018

Susan Cloran Taterka is a Social Worker, Clinical based in Chestnut Hill, MA. Susan Cloran Taterka practices in Chestnut Hill, MA and has the professional credentials of LICSW. The NPI Number for Susan Cloran Taterka is 1184774317 and holds a License No. 8605 (CA). The current practice location address for Susan Cloran Taterka is 85 Algonquin RD, Chestnut Hill, MA 02467-1001 and can be reached out via phone at 617-916-1083.

Provider Profile Details

NPI Number
1184774317
Provider Name
Susan Cloran Taterka
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
85 Algonquin RD, Chestnut Hill, MA 02467-1001
Phone Number
617-916-1083
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
December 27, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Algonquin RD
Chestnut Hill, MA 02467-1001
Zip
02467-1001
Phone Number
617-916-1083
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
85 Algonquin RD
Chestnut Hill, MA 02467-1001
City
Chestnut Hill
State
MA
Zip
02467-1001
Phone Number
617-916-1083

License Information

License Number (1)
8605
License State (1)
CA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
113609
License State (2)
MA
Taxonomy (2)
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 Mrs. Susan C Taterka, LICSW?

The NPI number of Mrs. Susan C Taterka, LICSW is 1184774317. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan C Taterka, LICSW?

Mrs. Susan C Taterka, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CA under license number 8605.

Where does Mrs. Susan C Taterka, LICSW practice?

The practice location is 85 Algonquin RD, Chestnut Hill, MA 02467-1001. The office can be reached at 617-916-1083 (phone).

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 1184774317 directly on the NPPES registry website.

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