Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan Belben-Fall, LICSW

Individual provider Clinical Social Worker · NPI 1811766967

Susan Belben-Fall, LICSW is a Clinical Social Worker in Beverly, Massachusetts. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

500 Cummings Ctr Ste 100
Beverly, MA 01915-6142
Phone: (978) 257-2533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128526 (MA)

Record details

NPI number1811766967
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedDecember 29, 2023
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address500 Cummings Ctr Ste 100, Beverly, MA 01915-6142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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