Individual provider Active NPI

Patricia A. Shapton, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1669740221
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801063109 Issued in MI
Practice address
1606 S Burdick St
Kalamazoo, MI 49001-2712
Phone
(269) 552-3440
Fax
(269) 552-5586
NPI assigned
Dec 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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 6801063109 MI Primary

Addresses

Primary practice location

1606 S Burdick St
Kalamazoo, MI 49001-2712

Mailing address

1606 S Burdick St
Kalamazoo, MI 49001-2712
Phone (269) 552-3440

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
6801063109MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MRC Industries Incorporated PastSince Oct 7, 2013 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": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1669740221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012712",
            "telephone_number": "269-552-3440",
            "fax_number": "269-552-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 S BURDICK ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012712",
            "telephone_number": "269-552-3440",
            "fax_number": "269-552-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPTON",
        "first_name": "PATRICIA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.