Active NPI
Hayley Pepin, LICSW
- Clinical Social Worker
- West Springfield, MA
National Provider Identifier
1003409970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 126228
- Practice address
- 1319 Riverdale St
West Springfield, MA 01089-4916 - Phone
- (469) 684-4410
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW15574 | FL | |
| Clinical Social Worker | 1041C0700X | 126228 | MA | Primary |
Addresses
Primary practice location
1319 Riverdale St
West Springfield, MA 01089-4916
Mailing address
5A Sawgrass Lane
Southwick, MA 01077
Phone (469) 684-4410
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW15574 | FL | MD | Clinical Social Worker |
| 126228 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Lights Wellness PLLC | Clinical | Current | Accepting new patients |
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.
-
- Clinical Social Worker
- West Springfield, MA
- NPI 1063307999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1003409970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5A SAWGRASS LANE",
"city": "SOUTHWICK",
"state": "MA",
"postal_code": "01077",
"telephone_number": "469-684-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 RIVERDALE ST",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894916",
"telephone_number": "469-684-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPIN",
"first_name": "HAYLEY",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2023-08-28",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "ISW15574",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "126228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.