Active NPI
Kathleen L Varner, MSW LICSW
- Clinical Social Worker
- W Springfield, MA
National Provider Identifier
1083772701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1015655
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P05060 | Other | MA | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Hearing and Speech Clinic/Center
- Westfield, MA
- NPI 1750886362
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.