Annamarie Ross Shu, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1029213 Issued in MA

Practice address

110 Boston St
Salem, MA 01970-1402

Phone

(781) 592-5691

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Justice Resource Institute, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Acton, MA
  • NPI 1295909760
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1699216713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TRENTON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763714",
            "telephone_number": "781-665-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOSTON ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019701402",
            "telephone_number": "781-592-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHU",
        "first_name": "ANNAMARIE",
        "middle_name": "ROSS",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1029213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyra Shishko
• Shitems LLC
• Charles M Shitto Jr.
• Lauren Shkolnik, D.O.
• Neil S. Shore, MD
• Anna Shukhovtseva
• Holly Jeanne Shuman, LIC.AC.
• Sandra L Shuman, MSW LICSW
• Rachel Susan Shwartz
• Irene Sica, MA

• Social Worker in Salem, MA
• Providers in Salem, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.