Individual provider Active NPI

Josephine Cassidy-Quinn, LICSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • West Springfield, MA
National Provider Identifier
1154489789
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
113845 Issued in MA
Practice address
2112 Riverdale St
West Springfield, MA 01089-1024
Phone
(413) 827-4269
Fax
(413) 827-4204
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 113845 MA Primary

Addresses

Primary practice location

2112 Riverdale St
West Springfield, MA 01089-1024

Mailing address

1233 Main St
Holyoke, MA 01040-5381
Phone (413) 493-2075

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

State licenses

LicenseStateTypeSpecialty
113845MAMDAddiction (Substance Use Disorder) Counselor

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": "1453852800000",
    "number": "1154489789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-493-2075",
            "fax_number": "413-539-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891024",
            "telephone_number": "413-827-4269",
            "fax_number": "413-827-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY-QUINN",
        "first_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "113845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.