Active NPI
Lynn M Shoreman, Licsw, LLC
- Clinical Social Worker
- Salem, MA
National Provider Identifier
1720319197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113059
- Legal business name
- LYNN M SHOREMAN, LICSW, LLC
- Practice address
- 8 Front Street
Suite 216
Salem, MA 01970 - Phone
- (978) 219-9875
- Fax
- (978) 219-5029
- NPI assigned
- Jan 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lynn Shoreman, LICSW
- Title
- Owner, Clinician
- Phone
- (978) 219-9875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113059 | MA | Primary |
Addresses
Primary practice location
8 Front Street
Suite 216
Salem, MA 01970
Mailing address
34 Ticehurst Lane
Marblehead, MA 01945
Phone (978) 219-9875
Other names 1
- Lynn Mangiaracina, LICSW, LLC
National Provider Directory
National Provider DirectoryLocations
8 Front St
Ste 216
Salem, MA 01970
Phone (978) 219-4713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1720319197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 TICEHURST LANE",
"city": "MARBLEHEAD",
"state": "MA",
"postal_code": "01945",
"telephone_number": "978-219-9875",
"fax_number": "978-219-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 FRONT STREET",
"address_2": "SUITE 216",
"city": "SALEM",
"state": "MA",
"postal_code": "01970",
"telephone_number": "978-219-9875",
"fax_number": "978-219-5029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNN M SHOREMAN, LICSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-24",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "SHOREMAN",
"authorized_official_first_name": "LYNN",
"authorized_official_title_or_position": "OWNER, CLINICIAN",
"authorized_official_telephone_number": "978-219-9875",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lynn Mangiaracina, LICSW, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.