Individual provider Active NPI

Katie Dudzik, MSW

  • Social Worker
  • Pittsfield, MA
National Provider Identifier
1285357541
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
66 West St Lowr Level
Pittsfield, MA 01201-5861
Phone
(413) 629-1072
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

66 West St Lowr Level
Pittsfield, MA 01201-5861

Mailing address

126 East St Unit B
Great Barrington, MA 01230-1435
Phone (847) 312-0791

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
I20260326001805 MA Practitioner - Clinical Social Worker 9830674001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Loyola University of Chicago, Stritch School of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Clear Mind Counseling LLCGroup PAC ID 7315394814, 2 clinicians

Practice addresses (Care Compare)

800 Hingham St
Suite 109S
Rockland, MA 02370-1067
Phone (339) 502-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1285357541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 EAST ST UNIT B",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301435",
            "telephone_number": "847-312-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WEST ST LOWR LEVEL",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015861",
            "telephone_number": "413-629-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDZIK",
        "first_name": "KATIE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.