Individual provider Active NPI

Sheila Thorn

  • Clinical Social Worker
  • Shelburne Falls, MA
National Provider Identifier
1275765562
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118040 Issued in MA
Practice address
1 Ashfield St
Ste 1
Shelburne Falls, MA 01370-1415
Phone
(413) 422-0822
Fax
(413) 325-8151
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 118040 MA Primary

Addresses

Primary practice location

1 Ashfield St
Ste 1
Shelburne Falls, MA 01370-1415

Mailing address

1 Ashfield St
Ste 1
Shelburne Falls, MA 01370-1415
Phone (413) 422-0822

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
118040MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1275765562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASHFIELD ST",
            "address_2": "STE 1",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701415",
            "telephone_number": "413-422-0822",
            "fax_number": "413-325-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ASHFIELD ST",
            "address_2": "STE 1",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701415",
            "telephone_number": "413-422-0822",
            "fax_number": "413-325-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "SHEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.