Active NPI
Scott Roman Hartblay
- Clinical Social Worker
- Leverett, MA
National Provider Identifier
1356938906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106111
- Practice address
- 30 Long Hill Rd
Leverett, MA 01054-9750 - Phone
- (413) 695-7274
- NPI assigned
- Dec 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106111 | MA | Primary |
Addresses
Primary practice location
30 Long Hill Rd
Leverett, MA 01054-9750
Mailing address
30 Long Hill Rd
Leverett, MA 01054-9750
Phone (413) 695-7274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106111 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1356938906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LONG HILL RD",
"city": "LEVERETT",
"state": "MA",
"postal_code": "010549750",
"telephone_number": "413-695-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LONG HILL RD",
"city": "LEVERETT",
"state": "MA",
"postal_code": "010549750",
"telephone_number": "413-695-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTBLAY",
"first_name": "SCOTT",
"middle_name": "ROMAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leverett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.