Individual provider Active NPI

Marylou E. Shearing, M.S.W.

  • Clinical Social Worker
  • West Bridgewater, MA
National Provider Identifier
1821108705
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105297 Issued in MA
Practice address
455 W Center St
Suite 3 Box 1
West Bridgewater, MA 02379-1637
Phone
(508) 954-4431
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105297 MA Primary

Addresses

Primary practice location

455 W Center St
Suite 3 Box 1
West Bridgewater, MA 02379-1637

Mailing address

455 W Center St
Suite 3 Box 1
West Bridgewater, MA 02379-1637
Phone (508) 954-4431

Other identifiers 6

IdentifierTypeStateIssuer
2078990OtherMACIGNA/GUARDIAN PROV. NUMB
453450OtherMATUFTS PROVIDER NUMBER
1005325OtherMAFALLON/NHP PROVIDER NUMBE
151805OtherMAVALUE OPTIONS/TRICARE/CHA
109603OtherMAHMO BLUE NUMBER
007377OtherMAHARVARD PILGRIM HEALTHCAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000608 MA Practitioner - Clinical Social Worker 3274587753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

231 Main St
FL 3
Brockton, MA 02301-4342
Phone (508) 586-2660

310 Barnstable Rd
Suite 201
Hyannis, MA 02601-2902
Phone (508) 862-0514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105297MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Jul 5, 2011 Accepting new patients
Mass Bay Enterprises LLC Past Accepting new patients
Southeast Adolescent and Adult Counseling Clinical Past Accepting new patients

Locations

231 Main St
Fl 3
Brockton, MA 02301
Phone (508) 586-2660

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1821108705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W CENTER ST",
            "address_2": "SUITE 3 BOX 1",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791637",
            "telephone_number": "508-954-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W CENTER ST",
            "address_2": "SUITE 3 BOX 1",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791637",
            "telephone_number": "508-954-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARING",
        "first_name": "MARYLOU",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/GUARDIAN PROV. NUMB",
            "identifier": "2078990",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "453450",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON/NHP PROVIDER NUMBE",
            "identifier": "1005325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS/TRICARE/CHA",
            "identifier": "151805",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE NUMBER",
            "identifier": "109603",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "007377",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bridgewater, MA

Sources for this page

Verify at the official NPI Registry.