Individual provider Active NPI

Shanna T Fishel, LICSW

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1336868009
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125188 Issued in MA
Practice address
116 Pleasant St Ste 320
Easthampton, MA 01027-2756
Phone
(415) 561-7270
NPI assigned
Aug 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 125188 MA Primary

Addresses

Primary practice location

116 Pleasant St Ste 320
Easthampton, MA 01027-2756

Mailing address

236 Chesterfield Rd
Leeds, MA 01053-9772
Phone (413) 561-7270

Other practice location 1

236 Chesterfield Rd
Leeds, MA 01053-9772
Phone (413) 727-6062

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231220001978 MA Practitioner - Clinical Social Worker 7517317340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

38 Mulberry St
Suite 204
Leeds, MA 01053-5339
Phone (413) 561-7270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125188MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
You Got Choices LLC Clinical CurrentSince Nov 2, 2023 Accepting new patients

Locations

1 Cottage St
Ste 518
Easthampton, MA 01027
Phone (413) 561-7270

116 Pleasant St
Ste 320
Easthampton, MA 01027
Phone (413) 561-7270

38 Mulberry St
Ste 204
Leeds, MA 01053
Phone (413) 727-3882

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1336868009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CHESTERFIELD RD",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539772",
            "telephone_number": "413-561-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PLEASANT ST STE 320",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272756",
            "telephone_number": "415-561-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Chesterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "MA",
            "postal_code": "010539772",
            "country_code": "US",
            "telephone_number": "413-727-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHEL",
        "first_name": "SHANNA",
        "middle_name": "T",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.