Active NPI
Marylou E. Shearing, M.S.W.
- Clinical Social Worker
- West Bridgewater, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105297
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2078990 | Other | MA | CIGNA/GUARDIAN PROV. NUMB |
| 453450 | Other | MA | TUFTS PROVIDER NUMBER |
| 1005325 | Other | MA | FALLON/NHP PROVIDER NUMBE |
| 151805 | Other | MA | VALUE OPTIONS/TRICARE/CHA |
| 109603 | Other | MA | HMO BLUE NUMBER |
| 007377 | Other | MA | HARVARD 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 105297 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Health Services, LLC | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Taunton, MA
- NPI 1225067481
-
- Clinical Social Worker
- West Bridgewater, MA
- NPI 1780830448
-
- Clinical Psychologist
- South Easton, MA
- NPI 1447395694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.