Individual provider Active NPI

Kayla M Celani, LICSW

  • Social Worker
  • Springfield, MA
National Provider Identifier
1376879783
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115906 Issued in MA
Practice address
130 Maple St Ste 201&229
Springfield, MA 01103-2202
Phone
(413) 486-0007
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 115906 MA Primary

Addresses

Primary practice location

130 Maple St Ste 201&229
Springfield, MA 01103-2202

Mailing address

7 Church St Unit 1
Somerville, MA 02143-2903
Phone (401) 225-6979

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
I20120724000886 MA Order and Referring Only - Clinical Social Worker 5597921262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115906MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. Past Accepting new patients
Community Physicians PC Past Accepting new patients
413Therapy Group, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1376879783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CHURCH ST UNIT 1",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432903",
            "telephone_number": "401-225-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE ST STE 201&229",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032202",
            "telephone_number": "413-486-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELANI",
        "first_name": "KAYLA",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "115906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.