Organization Active NPI

Shelah Corey, Licsw, LLC

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1760921977
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115347 Issued in MA
Legal business name
SHELAH COREY, LICSW, LLC
Practice address
33 Marengo Park
Springfield, MA 01108-1733
Phone
(413) 237-6862
Fax
(413) 294-2679
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Shelah Corey, LICSW
Title
Owner
Phone
(413) 237-6862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 115347 MA Primary

Addresses

Primary practice location

33 Marengo Park
Springfield, MA 01108-1733

Mailing address

33 Marengo Park
Springfield, MA 01108-1733
Phone (413) 237-6862

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1760921977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MARENGO PARK",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011081733",
            "telephone_number": "413-237-6862",
            "fax_number": "413-294-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MARENGO PARK",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011081733",
            "telephone_number": "413-237-6862",
            "fax_number": "413-294-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELAH COREY, LICSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "SHELAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-237-6862",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.