Individual provider Active NPI

Mary-Jo P Crowley-Bowdish, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1083755334
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113778 Issued in MA
Practice address
329 Conway St
Greenfield, MA 01301-1526
Phone
(413) 773-3608
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 113778 MA Primary

Addresses

Primary practice location

329 Conway St
Greenfield, MA 01301-1526

Mailing address

329 Conway St
Greenfield, MA 01301-1526
Phone (413) 773-3608

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
I20230523000367 MA Practitioner - Clinical Social Worker 3971969635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

131 W Main St
Suite 1
Orange, MA 01364-1150
Phone (978) 544-2148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Apr 15, 2023 Accepting new patients
Center for Human Development, Inc. Clinical CurrentSince Apr 15, 2023 Accepting new patients

Locations

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

131 W Main St
#1
Orange, MA 01364
Phone (978) 544-2148

131 W Main St
Fl 1
Orange, MA 01364

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083755334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011526",
            "telephone_number": "413-773-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 CONWAY ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011526",
            "telephone_number": "413-773-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY-BOWDISH",
        "first_name": "MARY-JO",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.