Shirley Ann Kairis I, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113158 Issued in MA

Practice address

17 Cedar St
Dedham, MA 02026-3221

Phone

(617) 838-6542

NPI assigned

Dec 29, 2006

Last updated

Jul 14, 2008By 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

Other identifiers 1

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1275699654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CEDAR ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020263221",
            "telephone_number": "617-838-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CEDAR ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020263221",
            "telephone_number": "617-838-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIRIS",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1854691",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricky L Jones
• Alexandra Jordankova
• Sabrina Joseph, LCSW
• Judy Brasier DO, LLC
• Rosalind Kahan
• Sanae Anne Kanenobu
• Kapasi Associates P.C. (Arthroscopy & Sports Med and Pentucket Orthopaedics & Sports Medicine)
• Chander M Kapasi, M.D., M.P.H.
• Onaly A Kapasi, MD, FAAOS
• Michael Kaplan Hartlaub, NP

• Clinical Social Worker in Dedham, MA
• Providers in Dedham, 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 Jul 14, 2008; 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.