IndividualActive
Susan Shore, MSW LICSW BCD
NPI 1114084787 · Clinical Social Worker · Eastham, MA
Provider details
- NPI number
- 1114084787
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW LICSW BCD
- Sex
- Female
- Sole proprietor
- No
- License
- MA111248 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130a Old Orchard Rd
Eastham, MA 02642-2102
Phone: (508) 255-9313
Fax: (508) 255-9313
Street-level locationGet directions
Mailing address
130a Old Orchard Rd
Eastham, MA 02642-2102
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2015-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.