Individual provider Active NPI

Erin Elizabeth Andrade, LICSW

  • Counselor
  • Cummington, MA
National Provider Identifier
1447662770
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
151 South St
Cummington, MA 01026-9501
Phone
(413) 634-3600
Fax
(413) 634-5300
NPI assigned
May 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MA Primary

Addresses

Primary practice location

151 South St
Cummington, MA 01026-9501

Mailing address

151 South St
Cummington, MA 01026-9501
Phone (413) 634-3600

Other names 1

  • Erin Elizabeth O'Shea Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230720002123 MA Practitioner - Clinical Social Worker 8426418575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gosnold, Inc. CurrentSince Jul 10, 2023 Accepting new patients

Locations

196 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 548-7118

200 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 563-2262

909 Sumner St
Ste 206
Stoughton, MA 02072

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1447662770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTH ST",
            "city": "CUMMINGTON",
            "state": "MA",
            "postal_code": "010269501",
            "telephone_number": "413-634-3600",
            "fax_number": "413-634-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SOUTH ST",
            "city": "CUMMINGTON",
            "state": "MA",
            "postal_code": "010269501",
            "telephone_number": "413-634-3600",
            "fax_number": "413-634-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "O'SHEA",
            "middle_name": "ELIZABETH",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cummington, MA

Sources for this page

Verify at the official NPI Registry.