Active NPI
Barbara Lynn Shavatt, LCSW-C
- Clinical Social Worker
- Pasadena, MD
National Provider Identifier
1295906071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 08472
- Practice address
- 8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940 - Phone
- (410) 491-3331
- Fax
- (410) 437-2407
- NPI assigned
- Mar 19, 2008
- Last updated
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08472 | MD | Primary |
Addresses
Primary practice location
8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940
Mailing address
8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940
Phone (410) 491-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC LTD | Clinical | Current | Accepting new patients |
Locations
8131 Ritchie Hwy
Ste G
Pasadena, MD 21122
Phone (410) 360-4774
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": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1295906071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8131 RITCHIE HWY",
"address_2": "SUITE G",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226940",
"telephone_number": "410-491-3331",
"fax_number": "410-437-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8131 RITCHIE HWY",
"address_2": "SUITE G",
"city": "PASADENA",
"state": "MD",
"postal_code": "211226940",
"telephone_number": "410-491-3331",
"fax_number": "410-437-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVATT",
"first_name": "BARBARA",
"middle_name": "LYNN",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "08472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.