Jason M Shott, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017006 Issued in PA

Practice address

618 Cumberland St
Lebanon, PA 17042-5232

Phone

(717) 274-2741

Fax

(717) 274-5405

NPI assigned

Mar 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Pennsylvania Counseling Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lebanon, PA
  • NPI 1366534620
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1982927414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 7TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465040",
            "telephone_number": "717-272-5464",
            "fax_number": "717-273-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425232",
            "telephone_number": "717-274-2741",
            "fax_number": "717-274-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTT",
        "first_name": "JASON",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW127178",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Shoe, MD
• James Lee Shoemaker Jr., PA-C
• Peter Frederick Sholler, MD
• Terra Sholley
• Donald Lewis Short, M.A.
• Jamie L. Showers, LCSW
• Scott T Shreve, DO
• Nicole Lyn Shue, BS, RN, CRNP
• Barbara Ann Shuey, AS. IN HUMAN SERVICE
• Emilie Shuler, CTRS

• Clinical Social Worker in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.