Active NPI
Katherine Josey Demaio, LCSW
- Clinical Social Worker
National Provider Identifier
1053974915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 224593
- Practice address
- 200 N Main St Ste 8
East Longmeadow, USA 01028 - Phone
- (860) 461-7792
- NPI assigned
- Apr 17, 2019
- 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 | 224593 | MA | Primary |
Addresses
Primary practice location
200 N Main St Ste 8
East Longmeadow, USA 01028
Mailing address
473 Ridge Rd
Wilbraham, MA 01095-2311
Phone (978) 349-3021
Other practice location 1
269 Union St
Lynn, MA 01901-1314
Phone (781) 691-9411
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 |
|---|---|---|---|
| 224593 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Health and Wellness LLC | Clinical | Current | Accepting new patients |
Locations
200 N Main St
Ste 8
East Longmeadow, MA 01028
Phone (860) 461-7792
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.
-
- Clinical Social Worker
- Springfield, MA
- NPI 1689243305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1053974915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 RIDGE RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010952311",
"telephone_number": "978-349-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N MAIN ST STE 8",
"city": "EAST LONGMEADOW",
"state": "USA",
"postal_code": "01028",
"telephone_number": "860-461-7792"
}
],
"practiceLocations": [
{
"address_1": "269 Union St",
"address_purpose": "LOCATION",
"city": "Lynn",
"state": "MA",
"postal_code": "019011314",
"country_code": "US",
"telephone_number": "781-691-9411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOSEY DEMAIO",
"first_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2022-10-28",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "224593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.