Individual provider Active NPI

Shawna L Winfrey, LICSW

  • Clinical Social Worker
  • Peabody, MA
National Provider Identifier
1629515655
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
100 Brooksby Village Dr
Peabody, MA 01960-1438
Phone
(978) 536-7850
Fax
(978) 536-7851
NPI assigned
Jan 29, 2017
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Community Health Worker 172V00000X 119829 MA

Addresses

Primary practice location

100 Brooksby Village Dr
Peabody, MA 01960-1438

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (978) 536-7850

Other practice location 1

138 Fenno Dr
Rowley, MA 01969-1004
Phone (781) 608-4657

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
I20170302000228 MA Practitioner - Clinical Social Worker 5092099440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Brooksby Village Dr
Peabody, MA 01960-1438
Phone (978) 536-7850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jul 24, 2023 Accepting new patients
Erickson Health Medical Group of Massachusetts PC CurrentSince Jul 24, 2023 Accepting new patients

Locations

300 Linden Ponds Way
Hingham, MA 02043
Phone (781) 534-7100

100 Brooksby Village Dr
Peabody, MA 01960
Phone (978) 536-2150

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1485648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1629515655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "978-536-7850",
            "fax_number": "978-536-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROOKSBY VILLAGE DR",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601438",
            "telephone_number": "978-536-7850",
            "fax_number": "978-536-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Fenno Dr",
            "address_purpose": "LOCATION",
            "city": "Rowley",
            "state": "MA",
            "postal_code": "019691004",
            "country_code": "US",
            "telephone_number": "781-608-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINFREY",
        "first_name": "SHAWNA",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-29",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": "119829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.