Individual provider Active NPI

Sherry M Zitter, MSW, LISCW, BCD

  • Clinical Social Worker
  • Westborough, MA
National Provider Identifier
1972694867
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
106060 Issued in MA
Practice address
45 Lyman St Ste 19
Westborough, MA 01581-2658
Phone
(508) 366-8576
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 106060 MA Primary

Addresses

Primary practice location

45 Lyman St Ste 19
Westborough, MA 01581-2658

Mailing address

21 Lewis St
Maynard, MA 01754-1345
Phone (978) 562-1801

Other identifiers 5

IdentifierTypeStateIssuer
063033000OtherMAMAGELLAN PROVIDER NUMBER
0433895770000OtherMACIGNA PROVIDER NUMBER
726778OtherMATUFTS PROVIDER NUMBER
P04932OtherMABCBS PROVIDER NUMBER
1859994MedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1972694867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LEWIS ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541345",
            "telephone_number": "978-562-1801",
            "fax_number": "978-562-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LYMAN ST STE 19",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812658",
            "telephone_number": "508-366-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTER",
        "first_name": "SHERRY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LISCW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "063033000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "0433895770000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS PROVIDER NUMBER",
            "identifier": "726778",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "P04932",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859994",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.