Lydia Kann Nettler, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

101616 Issued in MA

Practice address

1 Roundhouse PLZ
Suite 201
Northampton, MA 01060-4401

Phone

(413) 586-6920

Fax

(413) 586-5433

NPI assigned

Mar 26, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235256892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WASHINGTON AVE",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602825",
            "telephone_number": "413-586-6920",
            "fax_number": "413-586-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROUNDHOUSE PLZ",
            "address_2": "SUITE 201",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604401",
            "telephone_number": "413-586-6920",
            "fax_number": "413-586-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLER",
        "first_name": "LYDIA",
        "middle_name": "KANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891391",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDEMNITY",
            "identifier": "PO 2206",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857941",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Neckermann
• Fletcher Aldrich Nehring, PHARMD
• Ann Elizabeth Neill, MSW
• Melissa Nelson
• Jennifer Marie Nery, MACOM, MA, MLITT, BA
• Markus Neugebauer
• Neuropsychological Evaluations of Northampton
• Courtney Neustadt
• New England Deaconess Association (Rockridge@Laurel Park)
• New England Medical Supply, LLC (Hometown Medical Supply)

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, 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 Jul 9, 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.

Verify at the official NPI Registry.