1. Home
  2. Directory
  3. Massachusetts
  4. Arlington
  5. Social Worker
  6. NPI Profile

SUSAN SHAW MSW, LICSW, LADC-1
NPI 1023160538
Social Worker - Clinical in Arlington, MA

Active since January 17, 2007Opted out of Medicare · through Jul 31, 2028
299 BROADWAY, ARLINGTON, MA 02474(617) 224-3107(617) 623-3653 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Shaw Msw, Licsw, Ladc-1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN SHAW MSW, LICSW, LADC-1 (NPI 1023160538) is an individual clinical provider in Arlington, Massachusetts, licensed in Massachusetts (1032175) and active in the NPI registry since January 2007. She has opted out of Medicare through July 31, 2028.

NPPES Registry Identity

NPI1023160538
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN SHAWCredential: MSW, LICSW, LADC-1
Location Address299 BROADWAYArlington, MA 02474
Mailing AddressPo Box 440189Somerville, MA 02144-0002 · (617) 224-3107
Phone(617) 224-3107
Fax(617) 623-3653
Sole ProprietorYes
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1023160538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 1032175
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1626 (MA)
299 BROADWAY, Arlington, MA 02474
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedSH P22373MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Susan Shaw Msw, Licsw, Ladc-1 has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 31, 2024 through July 31, 2028.

Opt-Out Effective DateJuly 31, 2024
Opt-Out In Effect ThroughJuly 31, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FELIX WILLIAM TREITLER LICSW
Social Worker
299 BROADWAY
ARLINGTON, MA 02474
Middlesex County (781) 888-4067
MR. BRENT T GIESSMANN LADC-I, CADAC
Counselor (Addiction (Substance Use Disorder))
299 BROADWAY
ARLINGTON, MA 02474
Middlesex County (781) 646-3800
JULIANNE DEANGELIS LADC -I, CADAC -II
Counselor (Addiction (Substance Use Disorder))
299 BROADWAY
ARLINGTON, MA 02474
Middlesex County (781) 646-3800
BRIAN DELESKEY LICSW
Social Worker (Clinical)
299 BROADWAY
ARLINGTON, MA 02474
Middlesex County (617) 851-4206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Shaw's NPI number?

The NPI number for Susan Shaw is 1023160538. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Susan Shaw located?

Susan Shaw practices at 299 Broadway, Arlington, MA 02474. The listed phone number is (617) 224-3107.

What is Susan Shaw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Susan Shaw enrolled in Medicare?

No. Susan Shaw has opted out of Medicare through July 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Susan Shaw accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Susan Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Shaw was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.