Individual provider Active NPI

Jane Simonds, LICSW

  • Clinical Social Worker
  • Ware, MA
National Provider Identifier
1144346891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
96 South St
Ware, MA 01082-1616
Phone
(413) 967-6241
NPI assigned
Mar 22, 2007
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 Primary

Addresses

Primary practice location

96 South St
Ware, MA 01082-1616

Mailing address

115 Amherst Rd
Amherst, MA 01002-9799

Other identifiers 2

IdentifierTypeStateIssuer
1300881MedicaidMA
0300010OtherMAMBHP

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
I20050428001055 MA Practitioner - Clinical Social Worker 4789623794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc CurrentSince Jul 1, 2015 Accepting new patients
Behavioral Health Network Inc CurrentSince Jul 1, 2015 Accepting new patients
The Carson Center Past Accepting new patients

Locations

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

96 South St
Ware, MA 01082
Phone (413) 867-6241

77 Mill St
Westfield, MA 01085
Phone (413) 568-6141

77 Mill St
Ste 251
Westfield, MA 01085
Phone (413) 568-1421

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144346891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 AMHERST RD",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010029799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SOUTH ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821616",
            "telephone_number": "413-967-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "JANE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "0300010",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ware, MA

Sources for this page

Verify at the official NPI Registry.