Organization Active NPI

Responders Refuge

  • Clinical Social Worker
  • Longmeadow, MA
National Provider Identifier
1316711385
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESPONDERS REFUGE
Practice address
1200 Converse Street
Room B of Suite L1
Longmeadow, MA 01106
Phone
(413) 435-6036
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Richard Winning, LICSWNPI 1386014256
Title
Ceo/Lead Clinician
Phone
(617) 694-4080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1200 Converse Street
Room B of Suite L1
Longmeadow, MA 01106

Mailing address

165 Prospect St
East Longmeadow, MA 01028-2824
Phone (413) 435-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425002946 MA Part B Supplier - Clinic/Group Practice 7315387255 Receives reassigned benefits from 2 practitioners
Practice locations: East Longmeadow, MA; Longmeadow, MA

National Provider Directory

National Provider Directory

Locations

1200 Converse St
Ste L1
Longmeadow, MA 01106
Phone (413) 435-6036

1200 Converse St
Ste L
Longmeadow, MA 01106
Phone (413) 435-6036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1316711385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 PROSPECT ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282824",
            "telephone_number": "413-435-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONVERSE STREET",
            "address_2": "ROOM B OF SUITE L1",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "01106",
            "telephone_number": "413-435-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPONDERS REFUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "WINNING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO/LEAD CLINICIAN",
        "authorized_official_telephone_number": "617-694-4080",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.