Active NPI
James M. Mueller, LICSW
- Clinical Social Worker
- Longmeadow, MA
National Provider Identifier
1225063050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106925
- Practice address
- 167 Dwight Rd
Suite 206
Longmeadow, MA 01106-1752 - Phone
- (413) 567-1955
- Fax
- (413) 567-1956
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106925 | MA | Primary |
Addresses
Primary practice location
167 Dwight Rd
Suite 206
Longmeadow, MA 01106-1752
Mailing address
167 Dwight Rd
Suite 206
Longmeadow, MA 01106-1752
Phone (413) 567-1955
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000031119 | Other | MA | BMC HEALTHNET PLAN |
| 024072 | Other | MA | VALUEOPTIONS |
| 62-66753 | Other | MA | UNITED BEHAVIORAL HEALTH |
| P04983 | Other | MA | BLUE CROSS/BLUE SHIELD |
| P2267038 | Other | MA | OXFORD HEALTH PLANS |
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 |
|---|---|---|---|
| 106925 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225063050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 DWIGHT RD",
"address_2": "SUITE 206",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061752",
"telephone_number": "413-567-1955",
"fax_number": "413-567-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "167 DWIGHT RD",
"address_2": "SUITE 206",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061752",
"telephone_number": "413-567-1955",
"fax_number": "413-567-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "JAMES",
"middle_name": "M.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000031119",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "024072",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62-66753",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "P04983",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2267038",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmeadow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.