Individual provider Active NPI

Barbara K Shickmanter

  • Social Worker
  • Springfield, MA
National Provider Identifier
1225053127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105916 Issued in MA
Practice address
15 Lenox St
Jewish Family Service of W Mass
Springfield, MA 01108
Phone
(413) 737-2601
Fax
(413) 737-0323
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105916 MA Primary

Addresses

Primary practice location

15 Lenox St
Jewish Family Service of W Mass
Springfield, MA 01108

Mailing address

50 Dunmare CT
Lenox, MA 01240-2613
Phone (413) 637-2577

Other identifiers 1

IdentifierTypeStateIssuer
PO3784OtherBLUE CROSS BLUE SHIELD MA

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

LicenseStateTypeSpecialty
105916MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Western Massachusetts PastSince Nov 15, 2004 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225053127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DUNMARE CT",
            "city": "LENOX",
            "state": "MA",
            "postal_code": "012402613",
            "telephone_number": "413-637-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LENOX ST",
            "address_2": "JEWISH FAMILY SERVICE OF W MASS",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01108",
            "telephone_number": "413-737-2601",
            "fax_number": "413-737-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHICKMANTER",
        "first_name": "BARBARA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "105916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "PO3784",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.