Elizabeth Shor, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00943237 Issued in WV

Practice address

667 Huyett Rd
The Mental and Social Health Center
Charles Town, WV 25414-5378

Phone

(304) 997-4161

NPI assigned

Aug 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Developmental Evolution, LLC

  dba Mental and Social Health Center

  • Clinical Social Worker
  • Charles Town, WV
  • NPI 1710391057
  Medicare reassignment NPD
• Shenandoah Valley Medical System, Inc.

  dba Shenandoah Community Health Widmyer Elementary

  • Federally Qualified Health Center (FQHC)
  • Berkeley Springs, WV
  • NPI 1568186153
  NPD (past)
• Shenandoah Valley Medical System, Inc.

  dba Winchester Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Winchester, VA
  • NPI 1023217452
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1730345182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 HUYETT RD",
            "address_2": "THE MENTAL AND SOCIAL HEALTH CENTER",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254145378",
            "telephone_number": "304-997-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 HUYETT RD",
            "address_2": "THE MENTAL AND SOCIAL HEALTH CENTER",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254145378",
            "telephone_number": "304-997-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOR",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013376",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Center Opco, LLC
• Shenandoah Valley Medical System,Inc.
• Sara Anne Sherrick
• Deborah Kay Shewbridge, D.D.S.
• Shining Starr LLC
• Michael Shor, MSW
• Peter Shor
• Sadiya Siddiqi
• Sherrial Renay Simmers, DO
• Bonnie Sitman, SLP

• Clinical Social Worker in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.

Verify at the official NPI Registry.