MEDICARE: MS. SUSAN CAROL NOTO-MONIZ LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	110562	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	P08135	OTHER	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	7330747	OTHER	AETNA

General Provider Information

NPI Number	:	1811080203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUSAN CAROL NOTO-MONIZ LICSW

Provider Business Mailing Address
First Line	:	47 WILSON AVENUE
Second Line	:
City	:	WEYMOUTH
State	:	MA
Zip	:	02188
Country	:	US
Telephone Number	:	781-331-5460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1354 HANCOCK ST STE 315
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169-5109
Country	:	US
Telephone Number	:	617-471-5686
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	07/17/2024

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