Individual provider Active NPI

Margot A. Shinnick

  • Clinical Social Worker
  • Florence, MA
National Provider Identifier
1952330755
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113458 Issued in MA
Practice address
122 S Main St
Florence, MA 01062-1938
Phone
(413) 883-9965
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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 113458 MA Primary

Addresses

Primary practice location

122 S Main St
Florence, MA 01062-1938

Mailing address

122 S Main St
Florence, MA 01062-1938
Phone (413) 883-9965

Other practice location 1

7 Hadley St
South Hadley, MA 01075-1058
Phone (413) 219-0894

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
I20060823000231 MA Practitioner - Clinical Social Worker 3577576289 Practice locations: Florence, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113458MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1952330755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621938",
            "telephone_number": "413-883-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010621938",
            "telephone_number": "413-883-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Hadley St",
            "address_purpose": "LOCATION",
            "city": "South Hadley",
            "state": "MA",
            "postal_code": "010751058",
            "country_code": "US",
            "telephone_number": "413-219-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINNICK",
        "first_name": "MARGOT",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.