Ellen Michelle Shaw-Smith, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113030 Issued in MA

Practice address

17 Hawley St
Suite 2
Northampton, MA 01060-3374

Phone

(413) 658-5122

NPI assigned

Jul 13, 2006

Sex

Female

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

University of Kansas School of Med (KC/Wich/Sal), 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ellen Shaw-Smith Licsw BCN, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hadley, MA
  • NPI 1891200770
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236470400000",
    "number": "1427073725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LINCOLN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402560",
            "telephone_number": "413-538-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAWLEY ST",
            "address_2": "SUITE 2",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603374",
            "telephone_number": "413-658-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW-SMITH",
        "first_name": "ELLEN",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Edwards Shanahan, LICSW
• Catherine Louise Shankweiler, PT
• Christine Ida Sharkey, PT
• Amy Schlossberg Shatz, MSW
• Daniel J Shaver, D.C.
• Kara Lee Shaw, MSW
• Jennifer Sheaff, LMHC
• Justine Louise Sheffler, PSYD
• Eric Drew Sheldon, M.S.W.
• John M Sheldon, MD

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2009; 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.