NPIMap

Organization Active NPI

Berkshire County Kids' Place and Violence Preve

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1336493410
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BERKSHIRE COUNTY KIDS' PLACE AND VIOLENCE PREVE
Practice address
63 Wendell Avenue
Pittsfield, MA 01201
Phone
(413) 499-2800
Fax
(413) 496-9327
NPI assigned
Oct 29, 2012
Organization subpart
Yes
Parent organization
BERKSHIRE COUNTY KIDS' PLACE AND VIOLENCE PREVENTION CENTER, IAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Ms. Joann Oliver Lynch, LICSW
Title
Clinical Coordinator
Phone
(413) 499-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

63 Wendell Avenue
Pittsfield, MA 01201

Mailing address

63 Wendell Avenue
Pittsfield, MA 01201
Phone (413) 499-2800

National Provider Directory

National Provider Directory
Part of
Berkshire County Kids' Place and Violence Preve

Locations

63 Wendell Ave
Pittsfield, MA 01201
Phone (413) 499-2800

Practitioners & affiliated clinicians

Practitioners 6

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": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1336493410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 WENDELL AVENUE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-499-2800",
            "fax_number": "413-496-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WENDELL AVENUE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-499-2800",
            "fax_number": "413-496-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKSHIRE COUNTY KIDS' PLACE AND VIOLENCE PREVE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERKSHIRE COUNTY KIDS' PLACE AND VIOLENCE PREVENTION CENTER, I",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "413-499-2800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.