Susan Widdicombe Therapy, PLLC
NPI 1558296418ActiveOrganization· Social Worker, Clinical· Brookline, MA
Social Worker, Clinical in Brookline, Massachusetts, registered in NPPES in June 2026. The authorized official on file is Susan Widdicombe, LICSW, Mental Health Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558296418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2026 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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