Active NPI
Linda Shannon
- Social Worker
- Beverly, MA
National Provider Identifier
1356673370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 203248
- Practice address
- 800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175 - Phone
- (978) 921-1190
- Fax
- (978) 927-3724
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 203248 | MA | Primary |
Addresses
Primary practice location
800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175
Mailing address
800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175
Phone (978) 921-1190
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203248 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1356673370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CUMMINGS CTR",
"address_2": "SUITE 266T",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156175",
"telephone_number": "978-921-1190",
"fax_number": "978-927-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CUMMINGS CTR",
"address_2": "SUITE 266T",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156175",
"telephone_number": "978-921-1190",
"fax_number": "978-927-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "203248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.