Daniel Shepardson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2016553 Issued in MA

Practice address

45 Northumberland Rd
Pittsfield, MA 01201-7017

Phone

(413) 443-1634

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinical & Support Options, Inc

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1831265115
  Medicare reassignment Care Compare group NPD
• Massachusetts Society for the Prevention of Cruelty to Children

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1285712596
  NPD (past)
• Mspcc Mass Society of Prevention of Crualty to Children

  • Community/Behavioral Health Agency
  • Holyoke, MA
  • NPI 1376928937
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386784981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NORTHUMBERLAND RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NORTHUMBERLAND RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017017",
            "telephone_number": "413-443-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARDSON",
        "first_name": "DANIEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "2016553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter C Sheffer, D.M.D.
• Madineh Sheikh
• Peter Joseph Shelsy, DDS
• Kayla Sheltry
• Samuel Shenouda, BDS
• Nicole Maire Shepardson, LICSW
• Rachel Shepardson
• Michael F Sheridan, M.D.
• Carmen Sherman
• Rachella Sherman

• Mental Health Counselor in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Mental Health Counselor in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.