Active NPI
Somatic Psychotherapy Group LLC
- Clinical Social Worker
- Northampton, MA
National Provider Identifier
1023726775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SOMATIC PSYCHOTHERAPY GROUP LLC
- Practice address
- 155 Main St
Northampton, MA 01060-3259 - Phone
- (413) 341-0744
- NPI assigned
- Nov 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Borer, LICSW
- Title
- Social Worker
- Phone
- (917) 328-1193
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
155 Main St
Northampton, MA 01060-3259
Mailing address
155 Main St
Northampton, MA 01060-3259
Phone (413) 341-0744
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1376956458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668124800000",
"number": "1023726775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603259",
"telephone_number": "413-341-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603259",
"telephone_number": "413-341-0744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMATIC PSYCHOTHERAPY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A",
"authorized_official_last_name": "BORER",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "917-328-1193",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.