Individual provider Active NPI

David Jonathan Weidenfeld, MSW, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1366985459
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111108 Issued in MA
Practice address
8 Trumbull Rd Ste 104
Northampton, MA 01060-3080
Phone
(413) 341-1256
NPI assigned
Nov 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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 111108 MA Primary

Addresses

Primary practice location

8 Trumbull Rd Ste 104
Northampton, MA 01060-3080

Mailing address

8 Trumbull Rd Ste 104
Northampton, MA 01060-3080
Phone (413) 341-1256

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
I20050825000169 MA Practitioner - Clinical Social Worker 2961433313 Reassigns benefits to 1 organization
Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8 Trumbull Rd
Suite 104
Northampton, MA 01060-3080
Phone (413) 341-1256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc Clinical CurrentSince Dec 19, 2016 Accepting new patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

319 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 2

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1366985459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TRUMBULL RD STE 104",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603080",
            "telephone_number": "413-341-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TRUMBULL RD STE 104",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603080",
            "telephone_number": "413-341-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDENFELD",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-22",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.