Individual provider Active NPI

Richard Michael Hoebel, LICSW

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1073680740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102711 Issued in MA
Practice address
333 East St
Brien Center
Pittsfield, MA 01201-5312
Phone
(413) 499-0412
Fax
(413) 499-0979
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 102711 MA Primary

Addresses

Primary practice location

333 East St
Brien Center
Pittsfield, MA 01201-5312

Mailing address

PO Box 61
Lenox Dale, MA 01242-0061
Phone (413) 637-4007

Other identifiers 2

IdentifierTypeStateIssuer
PO2089OtherMABLUE CROSS BLUE SHIELD
31484OtherMAHEALTH NEW ENGLAND

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
102711MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Williams, DMD, PC Past Accepting new patients
Michael J Williams, DMD, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073680740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "LENOX DALE",
            "state": "MA",
            "postal_code": "012420061",
            "telephone_number": "413-637-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EAST ST",
            "address_2": "BRIEN CENTER",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015312",
            "telephone_number": "413-499-0412",
            "fax_number": "413-499-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEBEL",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "102711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PO2089",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31484",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, 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.