Individual provider Active NPI

Shona Quest Baum, LCSW

  • Clinical Social Worker
  • Kittery, ME
National Provider Identifier
1851339501
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS20092 Issued in CA
Practice address
14 Stimson St
Kittery, ME 03904-1628
Phone
(603) 294-1428
NPI assigned
Jun 3, 2006
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 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

LicenseStateTypeSpecialty
LCS20092CAMDClinical Social Worker
2206NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings Counseling, LLC Clinical PastSince Sep 6, 2020 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.

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.

Verify at the official NPI Registry.