Marykate P Shorter, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111447 Issued in MA

Practice address

300 Ocean Ave.
MGH-Revere Healthcare Center
Revere, MA 02151

Phone

(781) 485-6100

NPI assigned

Aug 6, 2007

Last updated

Aug 6, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Massachusetts General Hospital Revere Healthcare Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Revere, MA
  • NPI 1871715151
  NPD (past) Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1639360605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MARLBOROUGH ST APT 708",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021151507",
            "telephone_number": "617-510-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OCEAN AVE.",
            "address_2": "MGH-REVERE HEALTHCARE CENTER",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "02151",
            "telephone_number": "781-485-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTER",
        "first_name": "MARYKATE",
        "middle_name": "P",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Selesky
• Nicole Sendner
• Marisa Arline Shea, MD
• Shiva Transportation Services LLC
• Shoreline Psychiatry PC
• Lauren Nicole Shultz
• Crescentia Sieh, R.N.
• Hope Noelle Sigmon, M.S., BCBA
• Pamela Silvia, DPT
• Charles Lewis Silvius III, D.D.S.

• Clinical Social Worker in Revere, MA
• Providers in Revere, 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 Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.