Ms. Susan M Medyn, LICSW
Social Worker, Clinical in Westport, Massachusetts
1225054976- Practice location
- 866 Main RD, Westport, MA 02790-4311
- Phone
- 781-789-1236
- Fax
- 508-636-0601
- Last updated
- February 28, 2014
Susan M Medyn is a Social Worker, Clinical based in Westport, MA. Susan M Medyn practices in Westport, MA and has the professional credentials of LICSW. The NPI Number for Susan M Medyn is 1225054976 and holds a License No. 1018349 (MA). The current practice location address for Susan M Medyn is 866 Main RD, Westport, MA 02790-4311 and can be reached out via phone at 781-789-1236 and via fax at 508-636-0601.
Provider Profile Details
- NPI Number
- 1225054976
- Provider Name
- Susan M Medyn
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 866 Main RD, Westport, MA 02790-4311
- Phone Number
- 781-789-1236
- Fax Number
- 508-636-0601
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 14, 2006
- Last Update Date
- February 28, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 866 Main RD
Westport, MA 02790-4311 - City
- Westport
- State
- Massachusetts
- Zip
- 02790-4311
- Phone Number
- 781-789-1236
- Fax Number
- 508-636-0601
Provider Business Mailing Address Details
- Address
- 90 North CT
Tiverton, RI 02878-4724 - City
- Tiverton
- State
- RI
- Zip
- 02878-4724
- Phone Number
- 401-816-0554
- Fax Number
- 506-636-0601
License Information
- License Number
- 1018349
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Medyn, LICSW?
The NPI number of Ms. Susan M Medyn, LICSW is 1225054976. It was assigned on July 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan M Medyn, LICSW?
Ms. Susan M Medyn, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1018349.
Where does Ms. Susan M Medyn, LICSW practice?
The practice location is 866 Main RD, Westport, MA 02790-4311. The office can be reached at 781-789-1236 (phone) or 508-636-0601 (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 1225054976 directly on the NPPES registry website.