Active NPI
Josephine Cassidy-Quinn, LICSW, LADC
- Addiction (Substance Use Disorder) Counselor
- West Springfield, MA
National Provider Identifier
1154489789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 113845
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 113845 | MA | MD | Addiction (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.