Active NPIIndividual providerSole proprietor

Susan Belben-Fall, LICSW

Social Worker, Clinical in Beverly, Massachusetts

NPI Number1811766967
Practice location
500 Cummings Ctr Ste 100, Beverly, MA 01915-6142
Fax
—
Last updated
August 15, 2025

Susan Belben-Fall is a Social Worker, Clinical based in Beverly, MA. Susan Belben-Fall practices in Beverly, MA and has the professional credentials of LICSW. The NPI Number for Susan Belben-Fall is 1811766967 and holds a License No. 128526 (MA). The current practice location address for Susan Belben-Fall is 500 Cummings Ctr Ste 100, Beverly, MA 01915-6142 and can be reached out via phone at 978-257-2533.

Provider Profile Details

NPI Number
1811766967
Provider Name
Susan Belben-Fall
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
500 Cummings Ctr Ste 100, Beverly, MA 01915-6142
Phone Number
978-257-2533
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 29, 2023
Last Update Date
August 15, 2025
Certification Date
August 15, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Cummings Ctr Ste 100
Beverly, MA 01915-6142
Zip
01915-6142
Phone Number
978-257-2533
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
500 Cummings Ctr Ste 100
Beverly, MA 01915-6142
City
Beverly
State
MA
Zip
01915-6142
Phone Number
978-257-2533

License Information

License Number
128526
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 Susan Belben-Fall, LICSW?

The NPI number of Susan Belben-Fall, LICSW is 1811766967. It was assigned on December 29, 2023 and is currently active in the NPPES registry.

What is the specialty of Susan Belben-Fall, LICSW?

Susan Belben-Fall, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 128526.

Where does Susan Belben-Fall, LICSW practice?

The practice location is 500 Cummings Ctr Ste 100, Beverly, MA 01915-6142. The office can be reached at 978-257-2533 (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 1811766967 directly on the NPPES registry website.

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