Individual provider Active NPI

David Wein, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1205955002
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113757 Issued in MA
Practice address
13 Prospect St
Greenfield, MA 01301-3506
Phone
(413) 775-9345
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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 113757 MA Primary

Addresses

Primary practice location

13 Prospect St
Greenfield, MA 01301-3506

Mailing address

470 Riceville Rd
Athol, MA 01331-9638
Phone (978) 467-6525

Other identifiers 2

IdentifierTypeStateIssuer
0300010OtherMAMBHP
1300881MedicaidMA

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
I20090909000396 MA Practitioner - Clinical Social Worker 4587719992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Vermont College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

50 Pleasant St
Northampton, MA 01060-4127
Phone 4135846855221543

55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc CurrentSince Jun 23, 2009 Accepting new patients
Clinical & Support Options, Inc CurrentSince Jan 23, 2010 Accepting new patients

Locations

13 Prospect St
Greenfield, MA 01301
Phone (413) 722-0211

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1205955002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 RICEVILLE RD",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013319638",
            "telephone_number": "978-467-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PROSPECT ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013506",
            "telephone_number": "413-775-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIN",
        "first_name": "DAVID",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "0300010",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.