Abby T. Sheridan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113648 Issued in MA

Practice address

19 Pleasant St
Second Floor
Gloucester, MA 01930-5937

Phone

(978) 879-3570

Fax

(978) 283-2665

NPI assigned

Apr 22, 2008

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 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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northeast Behavioral Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
  • NPI 1154302586
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255219200000",
    "number": "1255505293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 PLEASANT ST",
            "address_2": "SECOND FLOOR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305937",
            "telephone_number": "978-879-3570",
            "fax_number": "978-283-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PLEASANT ST",
            "address_2": "SECOND FLOOR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019305937",
            "telephone_number": "978-879-3570",
            "fax_number": "978-283-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "ABBY",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2009-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Now Counseling LLC
• Andrea Shaw
• Daniel Hugh Shea, M.D.
• Victoria Shea
• Sarah A. Shepard, LICSW
• Jennifer Lynn Shulman, LPN
• Christine Sicard, NP
• Kerrin Silcox
• Elizabeth Bennett Silveira
• Amy Sinico

• Clinical Social Worker in Gloucester, MA
• Providers in Gloucester, 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 11, 2009; 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.