Individual provider Active NPI

Kathleen L Varner, MSW LICSW

  • Clinical Social Worker
  • W Springfield, MA
National Provider Identifier
1083772701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1015655 Issued in MA
Practice address
51 Park Ave
Suite 4
W Springfield, MA 01089
Phone
(413) 781-2348
Fax
(413) 785-5286
NPI assigned
Dec 5, 2006
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 1015655 MA Primary

Addresses

Primary practice location

51 Park Ave
Suite 4
W Springfield, MA 01089

Mailing address

51 Park Ave
Suite 4
W Springfield, MA 01089
Phone (413) 781-2348

Other identifiers 1

IdentifierTypeStateIssuer
P05060OtherMABLUE CROSS

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
I20101021001283 MA Practitioner - Clinical Social Worker 0345433389 Practice locations: Westfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45 Broad St
Westfield, MA 01085-3191

45 Broad St
Westfield, MA 01085-3469
Phone (413) 781-2348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Say Peas Speech and Feeding Therapy LLC 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, 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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083772701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PARK AVE",
            "address_2": "SUITE 4",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-781-2348",
            "fax_number": "413-785-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PARK AVE",
            "address_2": "SUITE 4",
            "city": "W SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-781-2348",
            "fax_number": "413-785-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNER",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1015655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P05060",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Springfield, MA

Sources for this page

Verify at the official NPI Registry.