Individual provider Active NPI

Elizabeth M.a. Shurman, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1992943963
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076929 Issued in NY
Practice address
102 Main St
Greenfield, MA 01301-3224
Phone
(413) 372-9834
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 076929 NY Primary

Addresses

Primary practice location

102 Main St
Greenfield, MA 01301-3224

Mailing address

Box 1216 One Gustave Levy Place
Mount Sinai Visiting Doctor'S Program
New York, NY 10029-6574
Phone (212) 824-7490

Other practice location 1

One Gustave Levy Place
# 1216 Mount Sinai Visiting Doctor's Program
New York, NY 10029-6574
Phone (212) 824-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076929NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Colorful Resilience LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

201 Park Ave
Ste 9
West Springfield, MA 01089
Phone (413) 213-2979

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1992943963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 1216 ONE GUSTAVE LEVY PLACE",
            "address_2": "MOUNT SINAI VISITING DOCTOR'S PROGRAM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-824-7490",
            "fax_number": "212-426-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013224",
            "telephone_number": "413-372-9834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Gustave Levy Place",
            "address_2": "# 1216 Mount Sinai Visiting Doctor's Program",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296574",
            "country_code": "US",
            "telephone_number": "212-824-7490",
            "fax_number": "212-426-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHURMAN",
        "first_name": "ELIZABETH",
        "middle_name": "M.A.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.