Individual provider Active NPI

Nicole Rejane Rochefort, LCSW

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1063586733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
212519 Issued in MA
Practice address
235 Maple St
Holyoke, MA 01040-5123
Phone
(413) 532-0389
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 212519 MA Primary

Addresses

Primary practice location

235 Maple St
Holyoke, MA 01040-5123

Mailing address

6 Mill St
PO Box 1414
Easthampton, MA 01027-1016
Phone (413) 387-7020

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

LicenseStateTypeSpecialty
212519MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063586733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MILL ST",
            "address_2": "PO BOX 1414",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271016",
            "telephone_number": "413-387-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MAPLE ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405123",
            "telephone_number": "413-532-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHEFORT",
        "first_name": "NICOLE",
        "middle_name": "REJANE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "212519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, 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.

Verify at the official NPI Registry.