Active NPI
Jordan Ferris
- Social Worker
- West Springfield, MA
National Provider Identifier
1033717087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 230328
- Practice address
- 59 Interstate Dr Ste 3
West Springfield, MA 01089-5100 - Phone
- (774) 206-1125
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 230328 | MA | Primary |
Addresses
Primary practice location
59 Interstate Dr Ste 3
West Springfield, MA 01089-5100
Mailing address
PO Box 791
Holyoke, MA 01041-0791
Phone (413) 540-1100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230328 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Counseling Center, Inc | Social Worker | Current | Accepting new patients |
Locations
10 Center St
Chicopee, MA 01013
Phone (413) 437-9200
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holyoke, MA
- NPI 1851444616
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1033717087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010410791",
"telephone_number": "413-540-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 INTERSTATE DR STE 3",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010895100",
"telephone_number": "774-206-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRIS",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "230328",
"primary": true
}
],
"identifiers": [],
"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 Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.