Maryelizabeth Flynn-Shaw, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1020193 Issued in MA

Practice address

3 Woodland Rd
Ste 418
Stoneham, MA 02180

Phone

(781) 662-6213

Fax

(781) 665-9860

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Maryelizabeth Flynn Shaw Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• F Khajavi MD Facp Inc

  • Psychiatry Physician
  • Stoneham, MA
  • NPI 1457532194
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1851366538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD STE 418",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021801714",
            "telephone_number": "781-662-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "address_2": "STE 418",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "02180",
            "telephone_number": "781-662-6213",
            "fax_number": "781-665-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN-SHAW",
        "first_name": "MARYELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "5000014",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "UGWBXE-01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "9392078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYELIZABETH",
            "last_name": "SHAW",
            "middle_name": "FLYNN",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• First Dental Associates PC
• John Fitzgerald
• Lauren Elizabeth Fitzgerald, DMD
• Jill Fleming, MD
• Aidette Florimon Ramirez, M.D
• Bailey Flynn
• Michaela Katherine Foley
• Ryan Davis Forney, DMD, MD
• Brian Foster
• Debra Fox Gansenberg, LICSW

• Clinical Social Worker in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.