Active NPI
Jack Harari, MSW
- Clinical Social Worker
- West Springfield, MA
National Provider Identifier
1013050848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 103 Myron St Ste a
West Springfield, MA 01089-1485 - Phone
- (413) 592-1980
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
103 Myron St Ste a
West Springfield, MA 01089-1485
Mailing address
212 Commonwealth Ave
Apt. #1
Boston, MA 02116-2533
Other practice location 1
31 Bowker St
Boston, MA 02114-2917
Phone (617) 371-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1302272 | Medicaid | MA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Cove Human Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Boston, MA
- NPI 1386702264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1013050848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 COMMONWEALTH AVE",
"address_2": "APT. #1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MYRON ST STE A",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010891485",
"telephone_number": "413-592-1980"
}
],
"practiceLocations": [
{
"address_1": "31 Bowker St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142917",
"country_code": "US",
"telephone_number": "617-371-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARARI",
"first_name": "JACK",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1302272",
"state": "MA"
}
],
"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 Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.