Niels W Cudnohufsky, LICSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113493 Issued in MA

Practice address

2112 Riverdale St
W Springfield, MA 01089-1024

Phone

(413) 788-7366

Fax

(413) 827-4269

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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.

• Brightside Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1093709370
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013962042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 RIVERDALE ST",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891024",
            "telephone_number": "413-788-7366",
            "fax_number": "413-827-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 RIVERDALE ST",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891024",
            "telephone_number": "413-788-7366",
            "fax_number": "413-827-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDNOHUFSKY",
        "first_name": "NIELS",
        "middle_name": "W",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightside for Families and Children
• Brightside Inc
• Jialene L Carter
• Montserrat Arcellana Centeno
• Davonte C Coleman
• CVS Pharmacy Inc
• Eye Care West, Inc
• Deborah J Guertin, BS RPH
• Yossri Mahir Kairlis, DMD
• Jane H Katz, LICSW

• All providers in W Springfield, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.