Organization Active NPI

Beth Agostino-Evans, Licsw LLC.

  • Community/Behavioral Health Agency
  • Northampton, MA
National Provider Identifier
1346832433
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BETH AGOSTINO-EVANS, LICSW LLC.
Practice address
27 Moser St
Northampton, MA 01060-3645
Phone
(978) 505-1265
NPI assigned
Feb 9, 2021
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Beth Agostino-Evans, LICSW
Title
Owner
Phone
(978) 505-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

27 Moser St
Northampton, MA 01060-3645

Mailing address

27 Moser St
Northampton, MA 01060-3645
Phone (978) 505-1265

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1346832433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MOSER ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603645",
            "telephone_number": "978-505-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MOSER ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603645",
            "telephone_number": "978-505-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH AGOSTINO-EVANS, LICSW LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2020-12-20",
        "status": "A",
        "authorized_official_last_name": "AGOSTINO-EVANS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-505-1265",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Feb 9, 2021; 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.