MRS. SUSAN A VINCENT (LICSW) – Clinical Social Worker, NPI 1023092079

MRS. SUSAN A VINCENT (LICSW) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 106939 (MA). The NPI Number for MRS. SUSAN A VINCENT (LICSW) is 1023092079

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN A VINCENT (LICSW)
NPI
1023092079
Phone
(508) 991-4404
Address
PO BOX 604
Enumeration Date
2 December 2005
Last Update Date
4 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089914404
Graduation Year
1985 (41 years ago)
PAC ID
0244250363
Professional Enrollment ID
I20051202000608
Address ID
MA027403665NE333XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MRS. SUSAN A VINCENT (LICSW)

  • PO BOX 604

    FAIRHAVEN, MA 027190604

    Phone: (508) 991-4404

    Fax: (508) 996-4862

    Type: Mailing

  • 3, North Orchard Street, New Bedford, Bristol County, Massachusetts, 02740, United States

    NEW BEDFORD, MA 027403661

    Phone: (508) 991-4404

    Fax: (508) 996-4862

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051202000608IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes25121$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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Reviews

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Frequently asked questions

Is MRS. SUSAN A VINCENT (LICSW) listed with a National Provider Identifier?
Yes — MRS. SUSAN A VINCENT (LICSW) has NPI 1023092079 on file in the registry.
Is MRS. SUSAN A VINCENT (LICSW) still an active registrant?
MRS. SUSAN A VINCENT (LICSW) carries an active NPI according to the public dataset.
What clinical focus is listed for MRS. SUSAN A VINCENT (LICSW)?
At a glance, MRS. SUSAN A VINCENT (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MRS. SUSAN A VINCENT (LICSW) associated with Fairhaven?
Public fields place MRS. SUSAN A VINCENT (LICSW) around Fairhaven, Massachusetts. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. SUSAN A VINCENT (LICSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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