Individual provider Active NPI

Chelsea M. Koonz Cortes, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1144569005
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122051 Issued in MA
Practice address
33 Shattuck St Apt 1
Greenfield, MA 01301-1903
Phone
(617) 981-4181
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 122051 MA Primary

Addresses

Primary practice location

33 Shattuck St Apt 1
Greenfield, MA 01301-1903

Mailing address

PO Box 1353
Greenfield, MA 01302-1353

Other names 1

  • Chelsea M. Koonz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1144569005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1353",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013021353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SHATTUCK ST APT 1",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013011903",
            "telephone_number": "617-981-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONZ CORTES",
        "first_name": "CHELSEA",
        "middle_name": "M.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "KOONZ",
            "middle_name": "M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.