Individual provider Active NPI

Donna Marie St. John, MSW, LICSW

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1356482376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1026474 Issued in MA
Practice address
235 Chestnut St
Springfield, MA 01103-1100
Phone
(413) 734-4978
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1026474 MA Primary

Addresses

Primary practice location

235 Chestnut St
Springfield, MA 01103-1100

Mailing address

113 Emerson Rd
Longmeadow, MA 01106-1813
Phone (413) 734-4978

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
I20050830000908 MA Practitioner - Clinical Social Worker 3072544931 Reassigns benefits to 1 organization
Practice locations: Longmeadow, MA; Pittsfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

113 Emerson Rd
Longmeadow, MA 01106-1813
Phone (413) 222-7660

140 Melbourne Rd
Epoch Assisted Living at Melbourne PL
Pittsfield, MA 01201-8533
Phone (413) 499-1992

151 Mystic Ave
Suite 6
Medford, MA 02155-4632

195 Wayside Ave
West Springfield, MA 01089-1319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mspcc Mass Society of Prevention of Crualty to Children Past Accepting new patients
Baystate Medical Practices, Inc Past Accepting new patients
Age Institute of Massachusetts, Inc. Past Accepting new patients

Organizations & group practices 4

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356482376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EMERSON RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061813",
            "telephone_number": "413-734-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031100",
            "telephone_number": "413-734-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1026474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.