Individual provider Active NPI

Stephanie J. Abate, LICSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1669580973
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113923 Issued in MA
Practice address
150 Fearing St
Suite 13
Amherst, MA 01002-1941
Phone
(413) 887-8187
Fax
(413) 230-3161
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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 03085 ME
Clinical Social Worker 1041C0700X 113923 MA Primary

Addresses

Primary practice location

150 Fearing St
Suite 13
Amherst, MA 01002-1941

Mailing address

95 Parker St
Suite 13
Newburyport, MA 01950-4033
Phone (978) 225-2250

Other identifiers 3

IdentifierTypeStateIssuer
03085OtherMELICENSE NUMBER
113923OtherMALICENSE NUMBER
000192301OtherMAMEDICARE PTAN MASSACHUSETTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113923MAMDClinical Social Worker
03085MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Neurobehavioral Services, P.a. PastSince Jul 28, 2021 Accepting new patients

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1669580973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PARKER ST",
            "address_2": "SUITE 13",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504033",
            "telephone_number": "978-225-2250",
            "fax_number": "978-225-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FEARING ST",
            "address_2": "SUITE 13",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021941",
            "telephone_number": "413-887-8187",
            "fax_number": "413-230-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABATE",
        "first_name": "STEPHANIE",
        "middle_name": "J.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "03085",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "03085",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "113923",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN MASSACHUSETTS",
            "identifier": "000192301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.