Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan K O'Connell, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1629121769

Susan K O'Connell, MSW, LICSW is a Clinical Social Worker in Waltham, Massachusetts. Qualified in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
50
Licensed in
MA
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

740 Main St Ste 115
Waltham, MA 02451-0607
Phone: (781) 894-8344
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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 102591 (MA)

Record details

NPI number1629121769
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedJanuary 20, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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