SHOBANA RAGHURAM MODUR
NPI 1114407350
Social Worker in Cambridge, MA

Active since August 17, 2018PECOS Enrolled
1493 CAMBRIDGE ST., CAMBRIDGE HOSPITAL, CAMBRIDGE, MA 02139(617) 665-1185 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shobana Raghuram Modur NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOBANA RAGHURAM MODUR (NPI 1114407350) is an individual social worker in Cambridge, Massachusetts and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114407350
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHOBANA RAGHURAM MODUR
Location Address1493 CAMBRIDGE ST., CAMBRIDGE HOSPITALCambridge, MA 02139
Mailing Address1493 Cambridge StCambridge, MA 02139-1099 · (617) 665-1185
Sole ProprietorNo
Enumeration DateAugust 17, 2018
NPI 1114407350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1493 CAMBRIDGE ST., Cambridge, MA 02139

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shobana Raghuram Modur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST., CAMBRIDGE HEALTH ALLIANCE
CAMBRIDGE, MA 02139
Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST., CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST., CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
Nurse Practitioner
1493 CAMBRIDGE ST.
CAMBRIDGE, MA 02139
Social Worker
1493 CAMBRIDGE ST.
CAMBRIDGE, MA 02139
Psychologist
1493 CAMBRIDGE ST., CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL
CAMBRIDGE, MA 02139
Social Worker
1493 CAMBRIDGE ST.
CAMBRIDGE, MA 02139
Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST., CHA MACHT BUILDING ROOM 239
CAMBRIDGE, MA 02139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114407350, enumerated as an "individual" on August 17, 2018.

The provider is located at 1493 CAMBRIDGE ST. CAMBRIDGE HOSPITAL CAMBRIDGE, MA 02139 and the phone number is (617) 665-1185.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.