Active NPI
Sara L Shuff, LICSW
- Clinical Social Worker
- Pittsfield, MA
National Provider Identifier
1689838534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111793
- Practice address
- 10 Wendell Avenue Ext
Ste 208
Pittsfield, MA 01201-6283 - Phone
- (413) 358-3038
- Fax
- (888) 802-1262
- NPI assigned
- Jul 10, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111793 | MA | Primary |
Addresses
Primary practice location
10 Wendell Avenue Ext
Ste 208
Pittsfield, MA 01201-6283
Mailing address
42 Brooks Ave
Pittsfield, MA 01201-2404
Phone (413) 236-5656
Other names 1
- Sara L Shuff-Heck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081117000618 | MA | Practitioner - Clinical Social Worker | 0749340073 | Practice locations: Pittsfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Wendell Ave Ext
Suite 208
Pittsfield, MA 01201-6283
Phone (413) 358-3038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111793 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mspcc Mass Society of Prevention of Crualty to Children | Past | Accepting new patients | |
| Massachusetts Society for the Prevention of Cruelty to Children | Past | Accepting new patients | |
| Berkshire Integrative Psychiatry PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Pittsfield, MA
- NPI 1558042366
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boston, MA
- NPI 1285712596
-
- Community/Behavioral Health Agency
- Holyoke, MA
- NPI 1376928937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1689838534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BROOKS AVE",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012012404",
"telephone_number": "413-236-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WENDELL AVENUE EXT",
"address_2": "STE 208",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016283",
"telephone_number": "413-358-3038",
"fax_number": "888-802-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUFF",
"first_name": "SARA",
"middle_name": "L",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2023-01-06",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "SHUFF-HECK",
"middle_name": "L",
"credential": "LICSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.