Individual provider Active NPI

Jayme A. Shorin, LICSW

  • Clinical Social Worker
  • Cambridge, MA
National Provider Identifier
1982611414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020910 Issued in MA
Practice address
930 Massachusetts Ave
Suite 101
Cambridge, MA 02139-3234
Phone
(617) 354-0807
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1020910 MA Primary

Addresses

Primary practice location

930 Massachusetts Ave
Suite 101
Cambridge, MA 02139-3234

Mailing address

930 Massachusetts Ave
Suite 101
Cambridge, MA 02139-3234
Phone (617) 354-0807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2025 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1020910MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jayme Shorin Licsw Clinical Current Accepting new patients

Locations

930 Massachusetts Ave
Ste 101
Cambridge, MA 02139
Phone (617) 354-0807

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982611414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MASSACHUSETTS AVE",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393234",
            "telephone_number": "617-354-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MASSACHUSETTS AVE",
            "address_2": "SUITE 101",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393234",
            "telephone_number": "617-354-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORIN",
        "first_name": "JAYME",
        "middle_name": "A.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.