T.Lee Shostack, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120565 Issued in MA

Practice address

121 Cherry St
Newton, MA 02465-1238

Phone

(617) 600-8533

NPI assigned

Sep 7, 2011

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Point Allerton Therapy LLC

  • Clinical Social Worker
  • Newton, MA
  • NPI 1194488890
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1013298827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CHERRY ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024651238",
            "telephone_number": "617-600-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CHERRY ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024651238",
            "telephone_number": "617-600-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOSTACK",
        "first_name": "T.LEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shields Health Imaging at Newton LLC
• Michelle Shields, LMT
• Carolyn Shim, DNP, FNP
• Eleanor M Shniper
• Peyton Marie Shobe
• Michael Isaac Shrager, MD
• Arushi Shrimal
• Herbert Morton Shuer, O.D.
• Jessica Elia Shursky, DPT
• Mia Elizabeth Shursky, CF-SLP

• Clinical Social Worker in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.