Individual provider Active NPI

Janet E Shoemaker, LCSW MSW

  • Clinical Social Worker
  • Guilford, CT
National Provider Identifier
1487712584
Registry record updated Jun 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000689 Issued in CT
Practice address
155 Sam Hill Rd
Guilford, CT 06437-2512
Phone
(203) 453-1352
NPI assigned
Dec 4, 2006
Last updated
Jun 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2009

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 000689 CT Primary

Addresses

Primary practice location

155 Sam Hill Rd
Guilford, CT 06437-2512

Mailing address

155 Sam Hill Rd
Guilford, CT 06437-2512
Phone (203) 453-1352

Other identifiers 2

IdentifierTypeStateIssuer
000689OtherCTCT LICENSE LCSW
14000068902OtherCTANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090914000609 CT Practitioner - Clinical Social Worker 6002962271 Practice locations: Guilford, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000689CTMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244851200000",
    "number": "1487712584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SAM HILL RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372512",
            "telephone_number": "203-453-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SAM HILL RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372512",
            "telephone_number": "203-453-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "JANET",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE LCSW",
            "identifier": "000689",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "14000068902",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.