Individual provider Active NPI

Allan Shelby Ham, LCSW

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1235279951
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW214038 Issued in MA
Practice address
286 Lincoln St
Worcester, MA 01605-2106
Phone
(508) 753-2967
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X LCSW214038 MA Primary

Addresses

Primary practice location

286 Lincoln St
Worcester, MA 01605-2106

Mailing address

161 Old Ashby Rd
Ashburnham, MA 01430-1133
Phone (508) 753-2967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20250923000686 MA Practitioner - Clinical Social Worker 2961907928 Practice locations: Leominster, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

265 Franklin St
Suite 1702
Boston, MA 02110-3137

53 Merriam Ave
Apt 4
Leominster, MA 01453-3191

53 Merriam Ave
Apt 4
Leominster, MA 01453-3194
Phone (978) 855-9326

53 Merriam Ave Apt
Suite 4
Leominster, MA 01453-3194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW214038MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Society for the Prevention of Cruelty to Children 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235279951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 OLD ASHBY RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301133",
            "telephone_number": "508-753-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052106",
            "telephone_number": "508-753-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "ALLAN",
        "middle_name": "SHELBY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LCSW214038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.