Individual provider Active NPI

Devora Sara Shamon, LICSW

  • Clinical Social Worker
  • Westwood, MA
National Provider Identifier
1376969709
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115979 Issued in MA
Practice address
88 Oak St
Westwood, MA 02090-3217
Phone
(617) 325-4078
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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 115979 MA Primary

Addresses

Primary practice location

88 Oak St
Westwood, MA 02090-3217

Mailing address

88 Oak St
Westwood, MA 02090-3217
Phone (617) 325-4078

Other names 1

  • Debbi Sara Shamon Other name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1376969709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 OAK ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020903217",
            "telephone_number": "617-325-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OAK ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020903217",
            "telephone_number": "617-325-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMON",
        "first_name": "DEVORA",
        "middle_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBI",
            "last_name": "SHAMON",
            "middle_name": "SARA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.