SUSAN WIDDICOMBE LICSW
NPI 1114605375
Social Worker - Clinical in Boston, MA

Active since July 07, 2023PECOS EnrolledAccepts Medicare Assignment
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118(617) 414-4145 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Dec 10, 2025, Jul 7, 2023 (3 updates tracked since 2023).

About Susan Widdicombe Licsw NPPES

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

SUSAN WIDDICOMBE LICSW (NPI 1114605375) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (LICSW1142050) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114605375
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN WIDDICOMBECredential: LICSW
Location Address1 BOSTON MEDICAL CTR PLBoston, MA 02118-2908
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 7, 2023
Last NPPES UpdateMay 15, 20263 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
NPI 1114605375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · LICSW1142050
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.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Widdicombe Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749775179
PECOS Enrollment IDI20251223000861
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118

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 Widdicombe's NPI number?

The NPI number for Susan Widdicombe is 1114605375. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Susan Widdicombe located?

Susan Widdicombe practices at 1 Boston Medical Ctr Pl, Boston, MA 02118. The listed phone number is (617) 414-4145.

What is Susan Widdicombe's specialty?

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

Is Susan Widdicombe enrolled in Medicare?

Yes. Susan Widdicombe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Susan Widdicombe affiliated with any hospitals?

According to CMS data, Susan Widdicombe is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Widdicombe was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.