MS. SUZANNE BRENNAN-NATHAN LICSW NPI 1659441319

NPI Information

  • NPI: 1659441319
  • Provider Name: MS. SUZANNE BRENNAN-NATHAN, LICSW
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 34 LINCOLN ST
    NEWTON HIGHLANDS, MA
    ZIP 02461
  • Phone: (617) 964-1060

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NPI Details

MS. Suzanne Brennan-nathan, LICSW is an addiction (substance use disorder) counselor in Newton Highlands, MA with 43 years of experience. MS. Suzanne Brennan-nathan, LICSW NPI is 1659441319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

34 LINCOLN ST
NEWTON HIGHLANDS, MA
ZIP 02461-507
Phone: (617) 964-1060
Fax: (617) 630-0381

The NPI 1659441319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)105604MASSACHUSETTSYes
2101YM0800XCounselorMental Health105604MASSACHUSETTSX
31041C0700XSocial WorkerClinical105604MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NA P22012MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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