Active NPI
Mitsouko Handal
- Clinical Social Worker
- Chelsea, MA
National Provider Identifier
1023339447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 175 Crescent Ave
Chelsea, MA 02150-3009 - Phone
- (617) 889-8779
- NPI assigned
- Jun 21, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
175 Crescent Ave
Chelsea, MA 02150-3009
Mailing address
2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849
Other practice location 1
2330 S Congress Ave
West Palm Beach, FL 33406-7608
Phone (561) 432-5849
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians PC | Past | Accepting new patients | |
| Community Health Care, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Westfield, MA
- NPI 1912980251
Addiction (Substance Use Disorder)
-
- Methadone Clinic
- Portland, ME
- NPI 1316242209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1023339447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 S CONGRESS AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334067608",
"telephone_number": "561-432-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 CRESCENT AVE",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021503009",
"telephone_number": "617-889-8779"
}
],
"practiceLocations": [
{
"address_1": "2330 S Congress Ave",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334067608",
"country_code": "US",
"telephone_number": "561-432-5849",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANDAL",
"first_name": "MITSOUKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.