Active NPI
Stephanie J. Abate, LICSW
- Clinical Social Worker
- Amherst, MA
National Provider Identifier
1669580973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113923
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03085 | Other | ME | LICENSE NUMBER |
| 113923 | Other | MA | LICENSE NUMBER |
| 000192301 | Other | MA | MEDICARE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113923 | MA | MD | Clinical Social Worker |
| 03085 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Neurobehavioral Services, P.a. | Past | 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.
-
- Psychologist
- Falmouth, ME
- NPI 1043432628
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.