Individual provider Active NPI

Kim Mohlar, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1154347649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1018040 Issued in MA
Practice address
55 Federal St
Greenfield, MA 01301-2546
Phone
(413) 772-2935
Fax
(413) 772-3724
NPI assigned
Jul 15, 2006
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 1018040 MA Primary

Addresses

Primary practice location

55 Federal St
Greenfield, MA 01301-2546

Mailing address

55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935

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
I20050810000327 MA Practitioner - Clinical Social Worker 6305875386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

400 Amity St
Amherst, MA 01002-2241
Phone (413) 549-0095

50 Pleasant St
Northampton, MA 01060-4127
Phone 4135846855221543

55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc CurrentSince Mar 16, 1998 Accepting new patients

Locations

55 Federal St
Greenfield, MA 01301
Phone (413) 772-2935

55 Federal St
Ste 150
Greenfield, MA 01301
Phone (413) 585-1300

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

141 North St
Pittsfield, MA 01201
Phone (413) 442-4003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154347649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012546",
            "telephone_number": "413-772-2935",
            "fax_number": "413-772-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012546",
            "telephone_number": "413-772-2935",
            "fax_number": "413-772-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHLAR",
        "first_name": "KIM",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1018040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.