Active NPIIndividual provider

Marykate P Shorter, LICSW

Social Worker, Clinical in Revere, Massachusetts

NPI Number1639360605
Practice location
300 Ocean Ave., Mgh-Revere Healthcare Center, Revere, MA 02151
Fax
—
Last updated
August 6, 2007

Marykate P Shorter is a Social Worker, Clinical based in Revere, MA. Marykate P Shorter practices in Revere, MA and has the professional credentials of LICSW. The NPI Number for Marykate P Shorter is 1639360605 and holds a License No. 111447 (MA). The current practice location address for Marykate P Shorter is 300 Ocean Ave., Mgh-Revere Healthcare Center, Revere, MA 02151 and can be reached out via phone at 781-485-6100.

Provider Profile Details

NPI Number
1639360605
Provider Name
Marykate P Shorter
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave., Mgh-Revere Healthcare Center, Revere, MA 02151
Phone Number
781-485-6100
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 6, 2007
Last Update Date
August 6, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave.
Mgh-Revere Healthcare Center
Revere, MA 02151
City
Revere
Zip
02151
Phone Number
781-485-6100
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
416 Marlborough St Apt 708
Boston, MA 02115-1507
City
Boston
State
MA
Zip
02115-1507
Phone Number
617-510-9458

License Information

License Number
111447
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marykate P Shorter, LICSW?

The NPI number of Marykate P Shorter, LICSW is 1639360605. It was assigned on August 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Marykate P Shorter, LICSW?

Marykate P Shorter, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111447.

Where does Marykate P Shorter, LICSW practice?

The practice location is 300 Ocean Ave., Mgh-Revere Healthcare Center, Revere, MA 02151. The office can be reached at 781-485-6100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639360605 directly on the NPPES registry website.

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