IndividualActive
Susan Douglass, LICSW
NPI 1275829558 · Clinical Social Worker · Worcester, MA
Provider details
- NPI number
- 1275829558
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 116372 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
72 Jaques Ave
Worcester, MA 01610-2476
Phone: (508) 860-1154
Street-level locationGet directions
Mailing address
45 Summer St
Leominster, MA 01453-3228
Registry dates
- Enumerated
- 2011-06-24
- Last updated
- 2011-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.