Active NPI
Katie Irizarry, MSW, LICSW
- School Social Worker
- Greenfield, MA
National Provider Identifier
1174028211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 364710
- Practice address
- 70 Shelburne Rd
Greenfield, MA 01301-2108 - Phone
- (413) 772-1370
- Fax
- (413) 772-1332
- NPI assigned
- Mar 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 364710 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 118109 | MA |
Addresses
Primary practice location
70 Shelburne Rd
Greenfield, MA 01301-2108
Mailing address
38 S Orchard Dr
Amherst, MA 01002-3058
Phone (413) 835-0692
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118109 | MA | MD | Clinical Social Worker |
| 364710 | MA | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1174028211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S ORCHARD DR",
"city": "AMHERST",
"state": "MA",
"postal_code": "010023058",
"telephone_number": "413-835-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 SHELBURNE RD",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012108",
"telephone_number": "413-772-1370",
"fax_number": "413-772-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIZARRY",
"first_name": "KATIE",
"credential": "MSW, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MA",
"license": "364710",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118109",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.