Individual provider Active NPI

Donna Ann Rempell, LICSW

  • Clinical Social Worker
  • North Adams, MA
National Provider Identifier
1235201757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1017574 Issued in MA
Practice address
25 Marshall St
Brien Center
North Adams, MA 01247-2451
Phone
(413) 664-4541
Fax
(413) 662-3311
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1017574 MA Primary

Addresses

Primary practice location

25 Marshall St
Brien Center
North Adams, MA 01247-2451

Mailing address

454 Stratton Rd
Williamstown, MA 01267-2945
Phone (413) 458-2269

Other identifiers 1

IdentifierTypeStateIssuer
31755OtherMAHEALTH NEW ENGLAND

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
I20111005000090 MA Practitioner - Clinical Social Worker 1557533023 Reassigns benefits to 1 organization
Practice locations: North Adams, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1017574MAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Healing LLC CurrentSince Mar 11, 2024 Accepting new patients
Optimal Healing LLC Clinical CurrentSince May 29, 2022 Accepting new patients

Locations

184 E Main St
North Adams, MA 01247
Phone (413) 346-4505

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235201757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 STRATTON RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672945",
            "telephone_number": "413-458-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSHALL ST",
            "address_2": "BRIEN CENTER",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472451",
            "telephone_number": "413-664-4541",
            "fax_number": "413-662-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMPELL",
        "first_name": "DONNA",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1017574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31755",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.