Lynn Rose Sheppard, LICSW
Individual provider Active NPI Clinical Social Worker · East Bridgewater, MA
NPI 1144411968 · NPPES record last updated Apr 30, 2010
Key facts
- NPI
- 1144411968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 115336 (MA)
- Practice address
- 11 Maple Ave
2ND Floor
East Bridgewater, MA 02333-1547 - Phone
- (508) 378-9000
- Fax
- (508) 378-9001
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Bay Mental Health Center, Inc. | Past |
Accepting new patients | |
| SB Transitional Sub, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115336 | MA | Yes |
Addresses
Primary practice location
11 Maple Ave
2ND Floor
East Bridgewater, MA 02333-1547
Mailing address
PO Box 335
East Bridgewater, MA 02333-0335
Phone (508) 378-9000
Other providers in East Bridgewater, MA
- Ashley Jean Schneider
- Nancy T Scott
- Jennifer Marie Seaberg
- Jonathan M Shapiro
- Samantha Shea
- Signature Healthcare Medical Group, Inc.
- Signature Healthcare Urgent Care, Inc.
- Colleen M Silva
- Ashley Christine Simoni
- Melissa Sinewick
All providers in East Bridgewater, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.