James Walker Edmonstone, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

103484 Issued in MA

Practice address

78 Main St
Suite # 404
Northampton, MA 01060

Phone

(413) 586-0098

Fax

(413) 586-0083

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• James Edmonstone

  • Adult Mental Health Clinic/Center
  • Northampton, MA
  • NPI 1134589708
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366647356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "address_2": "SUITE # 404",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-586-0098",
            "fax_number": "413-586-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "address_2": "SUITE # 404",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-586-0098",
            "fax_number": "413-586-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSTONE",
        "first_name": "JAMES",
        "middle_name": "WALKER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853341",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "1892673",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P02314",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert K Eckert, PHD
• Phyllis Eckstein, MSW-LICSW
• Iliana Rain Eclipse, LE
• Lee Edelberg, LMT
• Jacquelyn Edme
• Claire Edwards, D.M.D
• Efficiency Physio PLLC
• Nancy J Egan, PH.D.
• Joanne G Ehret, LIC. AC.
• Maxwell Ehrnfelt, LICSW

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.