Individual provider Active NPI

Anne Kamin Shelmerdine

  • School Social Worker
  • North Attleboro, MA
National Provider Identifier
1992288856
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
104793
Practice address
North Attleboro High School
1 Wilson Whittey Way
North Attleboro, MA 02760
Phone
(508) 643-2115
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 104793 MA
School Social Worker 1041S0200X 104793 Primary

Addresses

Primary practice location

North Attleboro High School
1 Wilson Whittey Way
North Attleboro, MA 02760

Mailing address

22 Niantic Rd
Sharon, MA 02067-2962
Phone (781) 254-6796

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104793MAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1992288856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NIANTIC RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672962",
            "telephone_number": "781-254-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH ATTLEBORO HIGH SCHOOL",
            "address_2": "1 WILSON WHITTEY WAY",
            "city": "NORTH ATTLEBORO",
            "state": "MA",
            "postal_code": "02760",
            "telephone_number": "508-643-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELMERDINE",
        "first_name": "ANNE",
        "middle_name": "KAMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "104793",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": "104793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.