MS. SUSAN L. JIMERSON (LICSW) – Mental Health Counselor, NPI 1093001570

MS. SUSAN L. JIMERSON (LICSW) is a healthcare provider. based in South yarmouth, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 114821 (MA). The NPI Number for MS. SUSAN L. JIMERSON (LICSW) is 1093001570

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN L. JIMERSON (LICSW)
NPI
1093001570
Phone
(508) 760-1475
Address
50 LONG POND DR
Enumeration Date
23 June 2011
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087719599
Graduation Year
2000 (26 years ago)
PAC ID
7719118199
Group Practice PAC ID
1951211598
Professional Enrollment ID
I20140327002143
Address ID
MA026013146HY94XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MS. SUSAN L. JIMERSON (LICSW)

  • 50 LONG POND DR

    SOUTH YARMOUTH, MA 026644180

    Phone: (508) 760-1475

    Mailing address matches the actual address.

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: 2014-03-27

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
I20140327002143IClinical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02664)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951211598View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Mental Health CounselorMA
-MA
Clinical Social WorkerMA
P S Y C H I A T R YMA
Nurse PractitionerMA
Family PracticeMA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. SUSAN L. JIMERSON (LICSW)?
NPI 1093001570 is assigned to MS. SUSAN L. JIMERSON (LICSW) under the national enumeration system.
Is MS. SUSAN L. JIMERSON (LICSW) currently active in the NPI registry?
CMS-published data lists MS. SUSAN L. JIMERSON (LICSW) as an active registrant.
What field does MS. SUSAN L. JIMERSON (LICSW) work in?
You can think of MS. SUSAN L. JIMERSON (LICSW) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MS. SUSAN L. JIMERSON (LICSW)?
The snapshot lists South Yarmouth, Massachusetts for MS. SUSAN L. JIMERSON (LICSW); download NPPES for the complete set.
What if South Yarmouth, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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