Individual provider Active NPI

David Taber

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1013438910
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
98 Lower Westfield Rd
Holyoke, MA 01040-9403
Phone
(413) 584-6855
NPI assigned
Jun 29, 2017
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 NU Primary

Addresses

Primary practice location

98 Lower Westfield Rd
Holyoke, MA 01040-9403

Mailing address

21 Olander Dr
Northampton, MA 01060-3631
Phone (413) 584-6855

Other practice location 1

50 Pleasant St
Northampton, MA 01060-4127
Phone (413) 584-6855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224001048 MA Practitioner - Clinical Social Worker 2365815222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

55 Federal St
Greenfield, MA 01301
Phone (413) 772-2935

98 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 533-5201

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1013438910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OLANDER DR",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603631",
            "telephone_number": "413-584-6855",
            "fax_number": "413-733-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409403",
            "telephone_number": "413-584-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010604127",
            "country_code": "US",
            "telephone_number": "413-584-6855",
            "fax_number": "413-585-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABER",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-11-03",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.