Individual provider Active NPI

Fanny R Chalfin, LCSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1073644365
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
213676 Issued in MA
Practice address
1 Roundhouse PLZ
Suite 203
Northampton, MA 01060-3545
Phone
(413) 636-5584
NPI assigned
Mar 8, 2007
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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 213676 MA Primary

Addresses

Primary practice location

1 Roundhouse PLZ
Suite 203
Northampton, MA 01060-3545

Mailing address

35 Milton St
Florence, MA 01062-2844
Phone (413) 827-8959

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
I20091019000287 MA Practitioner - Clinical Social Worker 6103963483 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

43 Ctr St
Suite 306
Northampton, MA 01060-3062
Phone (413) 636-5584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1073644365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MILTON ST",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010622844",
            "telephone_number": "413-827-8959",
            "fax_number": "413-827-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROUNDHOUSE PLZ",
            "address_2": "SUITE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603545",
            "telephone_number": "413-636-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALFIN",
        "first_name": "FANNY",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "213676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.