Shabana Mohamed, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120976 Issued in MA

Practice address

Lahey Health Primary Care, Ipswich
36 Essex Road
Ipswich, MA 01938

Phone

(978) 356-5522

Fax

(978) 356-0218

NPI assigned

Jan 21, 2015

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lahey Clinic, Inc

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1063447316
  Medicare reassignment NPD
• Lahey Clinic, Inc.

  dba Lahey Clinic

  • Internal Medicine Physician
  • Burlington, MA
  • NPI 1538194980
  Medicare reassignment NPD

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1437548948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAHEY HEALTH PRIMARY CARE, IPSWICH",
            "address_2": "36 ESSEX ROAD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382599",
            "telephone_number": "978-356-5522",
            "fax_number": "978-356-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY HEALTH PRIMARY CARE, IPSWICH",
            "address_2": "36 ESSEX ROAD",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "01938",
            "telephone_number": "978-356-5522",
            "fax_number": "978-356-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "SHABANA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Melanson III, DPT
• Beverly Braasch Messina, RPH
• Kayla Michelle Messina, PA
• Kelley Michael, ATC, LMT
• Sara Jane Mishkin, MS
• John Edward Mollica, MS
• Mollie L. Monaco, LICSW
• Sarah Ricau Moscho
• Moving Narrative, PLLC.
• Sean Moynihan

• Clinical Social Worker in Ipswich, MA
• Providers in Ipswich, 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 Jul 30, 2018; 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.