Individual provider Active NPI

Aaron Oakman Landrie

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1346920857
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
229437 Issued in MA
Practice address
47 Parker St Apt 1
Pittsfield, MA 01201-4129
Phone
(701) 620-1627
NPI assigned
Jul 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 229437 MA Primary

Addresses

Primary practice location

47 Parker St Apt 1
Pittsfield, MA 01201-4129

Mailing address

47 Parker St Apt 1
Pittsfield, MA 01201-4129
Phone (701) 620-1627

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
I20230911004164 MA Practitioner - Clinical Social Worker 0749644656 Reassigns benefits to 1 organization

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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1346920857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PARKER ST APT 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014129",
            "telephone_number": "701-620-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PARKER ST APT 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014129",
            "telephone_number": "701-620-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRIE",
        "first_name": "AARON",
        "middle_name": "OAKMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "229437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.