Individual provider Active NPI

Stephen Tournas-Hardt, LICSW

  • Clinical Social Worker
  • Stockbridge, MA
National Provider Identifier
1205086675
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118296 Issued in MA
Practice address
22 Church Street
Stockbridge, MA 01262-0371
Phone
(413) 281-9272
NPI assigned
Sep 23, 2008
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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 118296 MA Primary

Addresses

Primary practice location

22 Church Street
Stockbridge, MA 01262-0371

Mailing address

PO Box 371
Stockbridge, MA 01262-0371
Phone (413) 281-9272

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
I20140828000090 MA Practitioner - Clinical Social Worker 6901024272 Practice locations: Stockbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22 Church St
Stockbridge, MA 01262-7714
Phone (413) 281-9272

PO Box
Suite 371
Stockbridge, MA 01262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1205086675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012620371",
            "telephone_number": "413-281-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHURCH STREET",
            "city": "STOCKBRIDGE",
            "state": "MA",
            "postal_code": "012620371",
            "telephone_number": "413-281-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURNAS-HARDT",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-23",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, MA

Sources for this page

Verify at the official NPI Registry.