Individual provider Active NPI

Sara L Shuff, LICSW

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1689838534
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111793 Issued in MA
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

Updated by the provider on Jan 6, 2023

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
111793MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mspcc Mass Society of Prevention of Crualty to Children Past Accepting new patients
Massachusetts Society for the Prevention of Cruelty to Children PastSince Jan 1, 2008 Accepting new patients
Berkshire Integrative Psychiatry PC PastSince Jul 31, 2023 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.

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

Verify at the official NPI Registry.