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

Individual provider Clinical Social Worker · NPI 1114605375

Susan Widdicombe, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2023, 3 years ago. Practices with Boston University Psychiatry Associates, Inc, a 103-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
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

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 414-4145
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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 LICSW1142050 (MA)

Record details

NPI number1114605375
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 7, 2023
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Boston University Psychiatry Associates, Inc. — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Boston