Active NPI
Nancy L. Whitcomb, MSW, LICSW
- Mental Health Counselor
- Shrewsbury, MA
National Provider Identifier
1174646970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 106643 LICSW
- Practice address
- 104 S Quinsigamond Ave
Shrewsbury, MA 01545-4258 - Phone
- (508) 757-0402
- Fax
- (508) 757-0402
- NPI assigned
- Apr 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 106643 LICSW | MA | Primary |
Addresses
Primary practice location
104 S Quinsigamond Ave
Shrewsbury, MA 01545-4258
Mailing address
104 S Quinsigamond Ave
Shrewsbury, MA 01545-4258
Phone (508) 757-0402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WHP04697 | Other | MA | BLUE CROSS BLUE SHIELD # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106643 LICSW | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1174646970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S QUINSIGAMOND AVE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015454258",
"telephone_number": "508-757-0402",
"fax_number": "508-757-0402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S QUINSIGAMOND AVE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "015454258",
"telephone_number": "508-757-0402",
"fax_number": "508-757-0402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITCOMB",
"first_name": "NANCY",
"middle_name": "L.",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "106643 LICSW",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD #",
"identifier": "WHP04697",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.