Active NPI
Tammy Marie Sheldon
- Clinical Social Worker
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125033
- Practice address
- 12 Queen St
Worcester, MA 01610-2411 - Phone
- (508) 860-1032
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 125033 | MA | Primary |
Addresses
Primary practice location
12 Queen St
Worcester, MA 01610-2411
Mailing address
12 Queen St
Worcester, MA 01610-2411
Phone (508) 860-1032
Other practice location 1
172 Lincoln St
Worcester, MA 01605-3750
Phone (508) 552-7363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110189259A | Medicaid | MA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125033 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Healthlink, Inc. | Current | Accepting new patients | |
| Community Healthlink Inc | Current | Accepting new patients |
Locations
40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116
162 Chandler St
Worcester, MA 01609
Phone (508) 860-1080
72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154
12 Queen St
Worcester, MA 01610
Phone (508) 860-1242
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1649293028
-
- Community Health Clinic/Center
- Worcester, MA
- NPI 1235387879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1730656331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 QUEEN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102411",
"telephone_number": "508-860-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 QUEEN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016102411",
"telephone_number": "508-860-1032"
}
],
"practiceLocations": [
{
"address_1": "172 Lincoln St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016053750",
"country_code": "US",
"telephone_number": "508-552-7363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDON",
"first_name": "TAMMY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110189259A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.