Active NPI
Shanta Paloma Cortez-Greig, LCSW
- Clinical Social Worker
- South Deerfield, MA
National Provider Identifier
1801146956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121046
- Practice address
- 20 Elm Cir
South Deerfield, MA 01373-9746 - Phone
- (413) 337-7317
- NPI assigned
- Sep 17, 2012
- Last updated
- Mar 22, 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 | 121046 | MA | Primary |
Addresses
Primary practice location
20 Elm Cir
South Deerfield, MA 01373-9746
Mailing address
20 Elm Cir
South Deerfield, MA 01373-9746
Phone (413) 337-7317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300881 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
872 Mass Ave
Suite 2 2
Cambridge, MA 02139-3072
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121046 | MA | MD | Clinical Social Worker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1801146956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ELM CIR",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "013739746",
"telephone_number": "413-337-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ELM CIR",
"city": "SOUTH DEERFIELD",
"state": "MA",
"postal_code": "013739746",
"telephone_number": "413-337-7317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ-GREIG",
"first_name": "SHANTA",
"middle_name": "PALOMA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-17",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "121046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1300881",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Deerfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.