Individual provider Active NPI

James Shamlin, LCSW

  • Clinical Social Worker
  • Seven Fields, PA
National Provider Identifier
1649267014
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014830 Issued in PA
Practice address
100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851
Phone
(724) 772-4848
Fax
(724) 772-4888
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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 CW014830 PA Primary

Addresses

Primary practice location

100 Northpointe Cir
Suite 306
Seven Fields, PA 16046-7851

Mailing address

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046-7851
Phone (724) 772-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050630000669 PA Practitioner - Clinical Social Worker 1456397355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cranberry Psychological Center, Inc.Group PAC ID 3072501626, 45 clinicians

Practice addresses (Care Compare)

1378 Freeport Rd
Suite 2a
Pittsburgh, PA 15238-3135
Phone (412) 406-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW014830PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cranberry Psychological Center, Inc. Clinical CurrentSince Jan 7, 2005 Accepting new patients

Locations

3402 Washington Rd
Ste 304
McMurray, PA 15317
Phone (724) 772-4848

1340 Old Freeport Rd
Ste F13
Pittsburgh, PA 15238

1378 Freeport Rd
Ste 2A
Pittsburgh, PA 15238
Phone (412) 206-9328

100 Northpointe Cir
Ste 306
Seven Fields, PA 16046
Phone (724) 772-4848

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1649267014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTHPOINTE CIR",
            "address_2": "STE 306",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467851",
            "telephone_number": "724-772-4848",
            "fax_number": "724-772-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTHPOINTE CIR",
            "address_2": "SUITE 306",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467851",
            "telephone_number": "724-772-4848",
            "fax_number": "724-772-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMLIN",
        "first_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

Verify at the official NPI Registry.