Individual provider Active NPI

Janet S. Mazziotti, MSW, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1043301500
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113006 Issued in MA
Practice address
40 Center St Ste 6
Northampton, MA 01060-3411
Phone
(413) 531-2144
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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 113006 MA Primary

Addresses

Primary practice location

40 Center St Ste 6
Northampton, MA 01060-3411

Mailing address

40 Center St Ste 6
Northampton, MA 01060-3411
Phone (413) 531-2144

Other identifiers 1

IdentifierTypeStateIssuer
1300865MedicaidMA

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
I20050824000667 MA Practitioner - Clinical Social Worker 5991736472 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

39 Carlon Dr
A2
Northampton, MA 01060-2374
Phone (413) 531-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113006MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1043301500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CENTER ST STE 6",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603411",
            "telephone_number": "413-531-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CENTER ST STE 6",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603411",
            "telephone_number": "413-531-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZIOTTI",
        "first_name": "JANET",
        "middle_name": "S.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300865",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.