Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan Bullock, LICSW

Individual provider Clinical Social Worker · NPI 1366501389

Susan Bullock, LICSW is a Clinical Social Worker in Burlington, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
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 Partly verified

Some contact details are missing from the federal record.

Lahey Clinic 41 Mall Rd
Burlington, MA 01805-0001
Phone: (781) 744-8806
Fax: (781) 744-5235
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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 114566 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 213231 (MA)

Record details

NPI number1366501389
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 6, 2006
Last updated in NPPESApril 12, 2012

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