| Ms Susan R Shore, MSW LICSW BCD | |
| 
					130a Old Orchard Rd, Eastham, MA 02642-2102  | |
| (508) 255-9313 | |
| (508) 255-9313 | 
| Full Name | Ms Susan R Shore | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 130a Old Orchard Rd, Eastham, Massachusetts | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114084787 | NPI | - | NPPES | 
| 250971000 | Other | MAGELLAN | |
| P07976 | Other | BLUE CROSS HMO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MA111248 (Massachusetts) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Susan R Shore, MSW LICSW BCD 130a Old Orchard Rd, Eastham, MA 02642-2102 Ph: (508) 255-9313  | Ms Susan R Shore, MSW LICSW BCD 130a Old Orchard Rd, Eastham, MA 02642-2102 Ph: (508) 255-9313  | 
Ellen Watters Sullivan, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 125 Seaward Way, Eastham, MA 02642 Phone: 339-221-4511  | |
Susan Houle, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1625 Herring Brook Rd, Eastham, MA 02642 Phone: 508-255-9481  |