Individual provider Active NPI

Miriam L Desgazon, SW

  • School Social Worker
  • Northampton, MA
National Provider Identifier
1306494448
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
40 Center St
Northampton, MA 01060-3405
Phone
(413) 584-6855
NPI assigned
Sep 2, 2019
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X NU Primary

Addresses

Primary practice location

40 Center St
Northampton, MA 01060-3405

Mailing address

40 Center St
Northampton, MA 01060-3405
Phone (871) 490-3132

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1306494448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603405",
            "telephone_number": "871-490-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CENTER ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603405",
            "telephone_number": "413-584-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESGAZON",
        "first_name": "MIRIAM",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.