Active NPI
Evan Shopper
- Social Worker
- Greenfield, MA
National Provider Identifier
1629226642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 238 Main St
Fourth Floor
Greenfield, MA 01301-3243 - Phone
- (413) 774-6252
- Fax
- (413) 773-0477
- NPI assigned
- Sep 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
238 Main St
Fourth Floor
Greenfield, MA 01301-3243
Mailing address
238 Main St
Fourth Floor
Greenfield, MA 01301-3243
Phone (413) 774-6252
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130426000604 | MA | Practitioner - Clinical Social Worker | 0648416222 | Practice locations: Amherst, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 Research Dr
Amherst, MA 01002-2788
Phone (413) 835-1593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1629226642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 MAIN ST",
"address_2": "FOURTH FLOOR",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013013243",
"telephone_number": "413-774-6252",
"fax_number": "413-773-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 MAIN ST",
"address_2": "FOURTH FLOOR",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013013243",
"telephone_number": "413-774-6252",
"fax_number": "413-773-0477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOPPER",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.