SUSAN EDINGER
NPI 1922516434
Social Worker in Sharon, MA

Active since January 18, 2018PECOS EnrolledAccepts Medicare Assignment
219 MASSAPOAG AVE, SHARON, MA 02067(781) 784-8000 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Edinger NPPES

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

SUSAN EDINGER (NPI 1922516434) is an individual social worker in Sharon, Massachusetts, licensed in Massachusetts (106284) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1922516434
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSUSAN EDINGER
Location Address219 MASSAPOAG AVESharon, MA 02067-2714
Mailing Address31 Deerfield RdSharon, MA 02067-2301
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 18, 2018
✔ NPI 1922516434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MA · 106284
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
219 MASSAPOAG AVE, Sharon, MA 02067

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Edinger 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 ID6406180348
PECOS Enrollment IDI20190626000946
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Edinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
841 MAIN ST, LL2
Walpole, MA 02081
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
Clinical
378 PAGE ST, SUITE 6
Stoughton, MA 02072
  • Reassigned Medicare billing, Massachusetts enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
220 services16 patients

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 Edinger's NPI number?

The NPI number for Susan Edinger is 1922516434. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Susan Edinger located?

Susan Edinger practices at 219 Massapoag Ave, Sharon, MA 02067. The listed phone number is (781) 784-8000.

What is Susan Edinger's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Susan Edinger enrolled in Medicare?

Yes. Susan Edinger 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.

Which organizations bill Medicare for Susan Edinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Edinger reassigns Medicare benefits to 2 organizations: Walpole Behavioral Healthcare, LLC (Walpole, MA) and Renz Counseling, LLC (Stoughton, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Edinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Edinger accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Susan Edinger 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 Edinger was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.