Active NPI
Shayla Rose McDermott, LCSW, MT-BC
- Clinical Social Worker
- Winchester, MA
National Provider Identifier
1740038702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW2142805
- Practice address
- 407 Highland Ave
Winchester, MA 01890-4050 - Phone
- (781) 721-2950
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | |||
| Clinical Social Worker | 1041C0700X | LCSW2142805 | MA | Primary |
Addresses
Primary practice location
407 Highland Ave
Winchester, MA 01890-4050
Mailing address
11 Ridge St
Winchester, MA 01890-3623
Phone (248) 818-0555
Other practice location 1
200 Boston Ave Ste 1400
Medford, MA 02155-4269
Phone (413) 237-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1740038702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RIDGE ST",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018903623",
"telephone_number": "248-818-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 HIGHLAND AVE",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018904050",
"telephone_number": "781-721-2950"
}
],
"practiceLocations": [
{
"address_1": "200 Boston Ave Ste 1400",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "MA",
"postal_code": "021554269",
"country_code": "US",
"telephone_number": "413-237-9010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "SHAYLA",
"middle_name": "ROSE",
"credential": "LCSW, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW2142805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.