Jane Shustin, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0119372 Issued in VT

Practice address

493 A Main St
Mill Run Plaza
Groton, MA 01450

Phone

(978) 449-0169

NPI assigned

Mar 10, 2008

Last updated

Oct 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in VT

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 1

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1174793731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 BLAIR PARK RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958037",
            "telephone_number": "802-495-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 A MAIN ST",
            "address_2": "MILL RUN PLAZA",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "01450",
            "telephone_number": "978-449-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTIN",
        "first_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0119372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ivy Schultz
• Seven Hills Extended Care at Groton, Inc. (Seven Hills at Groton, Inc.)
• Shaws Supermarkets Inc (Shaws Pharmacy #0627)
• Shenna Esther Shepard, PSY.D.
• Arlie Shumate
• Mary Slattery
• Ashley Aren Smith-Boutin, NP, R.N.
• Erin Smolka, PA-C
• Carolyn Joan Sniezek, PT
• Kirsten Piotrowski Sobkowich, APRN

• Clinical Social Worker in Groton, MA
• Providers in Groton, 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 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.