Individual provider Active NPI

Julia Joachim Shaw

  • Clinical Social Worker
  • Worcester, MA
National Provider Identifier
1013341502
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
172 Lincoln St
Worcester, MA 01605-3750
Phone
(617) 817-2033
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

172 Lincoln St
Worcester, MA 01605-3750

Mailing address

172 Lincoln St
Worcester, MA 01605-3750
Phone (617) 817-2033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180911001462 ME Practitioner - Clinical Social Worker 2466702519 Reassigns benefits to 3 organizations
I20260209001527 MA Practitioner - Clinical Social Worker 2466702519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Concepts IncorporatedGroup PAC ID 7113455957, 5 clinicians
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

150 Congress St
Rumford, ME 04276-2035
Phone (207) 364-3549

63 Federal St
Portland, ME 04101-4222
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imagen Therapy LLC Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 31, 2025 Accepting new patients
Community Concepts, Inc. PastSince Aug 10, 2018 Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

63 Federal St
Portland, ME 04101
Phone (207) 560-0551

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1013341502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053750",
            "telephone_number": "617-817-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053750",
            "telephone_number": "617-817-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JULIA",
        "middle_name": "JOACHIM",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.