Active NPI
Simon Taylor, LICSW
- Clinical Social Worker
- South Hadley, MA
National Provider Identifier
1053537142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1016961
- Practice address
- James Levine & Associates, P.C.
9 College Street, Suite 6
South Hadley, MA 01075 - Phone
- (413) 534-7400
- Fax
- (413) 534-7483
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- 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 | 1016961 | MA | Primary |
Addresses
Primary practice location
James Levine & Associates, P.C.
9 College Street, Suite 6
South Hadley, MA 01075
Mailing address
53 High St
Florence, MA 01062-1414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO8035 | Other | MA | BLUE SHIELD |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016961 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053537142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 HIGH ST",
"city": "FLORENCE",
"state": "MA",
"postal_code": "010621414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "JAMES LEVINE & ASSOCIATES, P.C.",
"address_2": "9 COLLEGE STREET, SUITE 6",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "01075",
"telephone_number": "413-534-7400",
"fax_number": "413-534-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "SIMON",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1016961",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "PO8035",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Hadley, MA
Sources for this page
- 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.