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

Susannah Coburn Bastek, LICSW

Individual provider Clinical Social Worker · NPI 1841343613

Susannah Coburn Bastek, LICSW is a Clinical Social Worker in Northampton, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
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

129 King St
Northampton, MA 01060-3258
Phone: (413) 586-0390
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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 113728 (MA)

Record details

NPI number1841343613
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJuly 8, 2007
Mailing address185 N Maple St, Florence, MA 01062-1346

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