| Susan Gershwin Licsw Llc | |
|
40 Maine Ave Easthampton MA 01027-1595 | |
| (857) 753-6631 | |
| Not Available |
| Full Name | Susan Gershwin Licsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 40 Maine Ave, Easthampton, Massachusetts |
| Authorized Official Name and Position | Susan D Gershwin (OWNER) |
| Authorized Official Contact | 8577536631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Gershwin Licsw Llc 43632 Modena Dr Temecula CA 92592-9241 Ph: (857) 753-6631 | Susan Gershwin Licsw Llc 40 Maine Ave Easthampton MA 01027-1595 Ph: (857) 753-6631 |
| NPI Number | 1649813825 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 10/22/2025 |
| Certification Date | 10/22/2025 |
| Medicare PECOS PAC ID | 8123453446 |
|---|---|
| Medicare Enrollment ID | O20200115000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649813825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan D Gershwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124425897 PECOS PAC ID: 6800116211 Enrollment ID: I20150527001613 |
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