Active NPI
Mary Jane Schiffer, L.I.C.S.W.
- Clinical Social Worker
- Newton, MA
National Provider Identifier
1306978325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1018028
- Practice address
- 30 Lincoln St
Newton, MA 02461-1527 - Phone
- (781) 235-4832
- Fax
- (781) 237-9620
- NPI assigned
- Mar 12, 2007
- 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 | 1018028 | MA | Primary |
Addresses
Primary practice location
30 Lincoln St
Newton, MA 02461-1527
Mailing address
72 Sheridan Rd
Wellesley, MA 02481-5450
Phone (781) 235-4832
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1859684 | Medicaid | MA | |
| PO5100 | Other | MA | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1018028 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306978325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 SHERIDAN RD",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815450",
"telephone_number": "781-235-4832",
"fax_number": "781-237-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LINCOLN ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611527",
"telephone_number": "781-235-4832",
"fax_number": "781-237-9620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFER",
"first_name": "MARY JANE",
"name_prefix": "Ms.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1018028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1859684",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PO5100",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.