Individual provider Active NPI

Barbara Lynn Shavatt, LCSW-C

  • Clinical Social Worker
  • Pasadena, MD
National Provider Identifier
1295906071
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
08472 Issued in MD
Practice address
8131 Ritchie Hwy
Suite G
Pasadena, MD 21122-6940
Phone
(410) 491-3331
Fax
(410) 437-2407
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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 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

Other identifiers 1

IdentifierTypeStateIssuer
08472OtherMDLICENSED SOCAL WORKER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000515 MD Practitioner - Clinical Social Worker 6305906397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PCC LTD Clinical CurrentSince Apr 1, 2019 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 and National Provider Directory roles.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCAL WORKER",
            "identifier": "08472",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

Verify at the official NPI Registry.