Active NPI
Shona Quest Baum, LCSW
- Clinical Social Worker
- Kittery, ME
National Provider Identifier
1851339501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS20092
- Practice address
- 14 Stimson St
Kittery, ME 03904-1628 - Phone
- (603) 294-1428
- NPI assigned
- Jun 3, 2006
- Last updated
- Apr 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS20092 | CA | Primary |
Addresses
Primary practice location
14 Stimson St
Kittery, ME 03904-1628
Mailing address
14 Stimson St
Kittery, ME 03904-1628
Phone (646) 620-0717
Other practice location 1
1 Middle St Ste 223
Portsmouth, NH 03801-4391
Phone (603) 294-1428
Other practice location 2
45 Franklin St
San Francisco, CA 94102-6017
Phone (415) 336-5458
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS20092 | CA | MD | Clinical Social Worker |
| 2206 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Linings Counseling, LLC | Clinical | Past | Accepting new patients |
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.
-
dba Jessica Stucker, LICSW, MLADC
- Clinical Social Worker
- Portsmouth, NH
- NPI 1629682141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1851339501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 STIMSON ST",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041628",
"telephone_number": "646-620-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 STIMSON ST",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041628",
"telephone_number": "603-294-1428"
}
],
"practiceLocations": [
{
"address_1": "1 Middle St Ste 223",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038014391",
"country_code": "US",
"telephone_number": "603-294-1428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Franklin St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941026017",
"country_code": "US",
"telephone_number": "415-336-5458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUM",
"first_name": "SHONA",
"middle_name": "QUEST",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS20092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.