Ricardo Luis Pena

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1109 Granby Rd
Chicopee, MA 01020-1568

Phone

(413) 333-6078

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1194501429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 RIVER ST APT H4",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893634",
            "telephone_number": "787-642-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GRANBY RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201568",
            "telephone_number": "413-333-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy J Patten
• Dana Patterson, LPN
• Giovanni Paz, OTR
• Lindsay Kay Pelkey
• Victor Pellicier
• Sarah Marie Pennington, LICSW
• Felicia Michelle Pepin
• Kristy Marie Pereira, R.N.
• Nikita Perez, B.A.
• Edward Raymond Perlak, RPH

• Clinical Social Worker in Chicopee, MA
• Providers in Chicopee, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.