Active NPI
Craig J Ungerman
- Clinical Social Worker
- Southbridge, MA
National Provider Identifier
1144909284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5 Optical Dr
Southbridge, MA 01550-2559 - Phone
- (508) 519-3590
- Fax
- (508) 849-3882
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
5 Optical Dr
Southbridge, MA 01550-2559
Mailing address
32 Letters St
Putnam, CT 06260-2016
Phone (860) 942-1658
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1144909284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 LETTERS ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602016",
"telephone_number": "860-942-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 OPTICAL DR",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015502559",
"telephone_number": "508-519-3590",
"fax_number": "508-849-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGERMAN",
"first_name": "CRAIG",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
- Caroline Tuttle, NP
- Norma Tyznik
- Umass Memorial Health-Harrington Hospital Inc
- Umass Memorial Medical Group, Inc. (Urgent Care Express at Harrington)
- Umass Memorial MRI & Imaging Center, LLC
- Unity Homecare LLC
- Veronica Joan Vaida, NP
- Emily Valante
- Carl John Vanderputten, DO
- Jorge A Vargas, MS,PSYCH.FTH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.