Active NPI
Anne Y Elshama, LICSW
- Clinical Social Worker
- Arlington, MA
National Provider Identifier
1184684698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111836
- Practice address
- 22 Mill St
Suite 004
Arlington, MA 02476-4784 - Phone
- (781) 646-0500
- Fax
- (781) 646-7130
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111836 | MA | Primary |
Addresses
Primary practice location
22 Mill St
Suite 004
Arlington, MA 02476-4784
Mailing address
22 Mill St
Suite 004
Arlington, MA 02476-4784
Phone (781) 646-0500
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 |
|---|---|---|---|
| 111836 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1184684698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MILL ST",
"address_2": "SUITE 004",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764784",
"telephone_number": "781-646-0500",
"fax_number": "781-646-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MILL ST",
"address_2": "SUITE 004",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764784",
"telephone_number": "781-646-0500",
"fax_number": "781-646-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSHAMA",
"first_name": "ANNE",
"middle_name": "Y",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.