Individual provider Active NPI

Christine L Catania-Rachlin, LICSW

  • Clinical Social Worker
  • Hadley, MA
National Provider Identifier
1083631030
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014501 Issued in PA
Practice address
104 Russell St
Hadley, MA 01035-9570
Phone
(413) 758-5658
NPI assigned
Jul 16, 2006
Last updated
Oct 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1031163 MA
Clinical Social Worker 1041C0700X CW014501 PA Primary

Addresses

Primary practice location

104 Russell St
Hadley, MA 01035-9570

Mailing address

120 Mountain View Dr
Belchertown, MA 01007-9131
Phone (413) 758-5658

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
I20210203002503 MA Practitioner - Clinical Social Worker 2860432697 Reassigns benefits to 1 organization
Practice locations: Hadley, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1031163MAMDClinical Social Worker
CW014501PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bangor Chiropractic, Inc. PastSince Jul 1, 2002 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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1083631030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MOUNTAIN VIEW DR",
            "city": "BELCHERTOWN",
            "state": "MA",
            "postal_code": "010079131",
            "telephone_number": "413-758-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RUSSELL ST",
            "city": "HADLEY",
            "state": "MA",
            "postal_code": "010359570",
            "telephone_number": "413-758-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATANIA-RACHLIN",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031163",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hadley, MA

Sources for this page

Verify at the official NPI Registry.