Individual provider Active NPI

Desiree Lee Knurek

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1265743116
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
110 Maple St
Springfield, MA 01105-1864
Phone
(413) 736-0127
Fax
(413) 737-3000
NPI assigned
Jun 25, 2010
Last updated
Jun 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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 Primary

Addresses

Primary practice location

110 Maple St
Springfield, MA 01105-1864

Mailing address

110 Maple St
Springfield, MA 01105-1864
Phone (413) 736-0127

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
I20180330000680 MA Practitioner - Clinical Social Worker 0547522633 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Center Inc CurrentSince Dec 31, 2022 Accepting new patients
Center for Human Development, Inc CurrentSince Aug 20, 2023 Accepting new patients
Center for Human Development, Inc. Clinical CurrentSince Aug 20, 2023 Accepting new patients
Baystate Medical Center, Inc. CurrentSince Dec 31, 2022 Accepting new patients

Locations

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1265743116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051864",
            "telephone_number": "413-736-0127",
            "fax_number": "413-737-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MAPLE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051864",
            "telephone_number": "413-736-0127",
            "fax_number": "413-737-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUREK",
        "first_name": "DESIREE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.