Individual provider Active NPI

Allyson Mazzuchi

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1396073748
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117318 Issued in MA
Practice address
22 Wilson Ave
Northampton, MA 01060-3814
Phone
(413) 320-3877
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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 117318 MA Primary

Addresses

Primary practice location

22 Wilson Ave
Northampton, MA 01060-3814

Mailing address

22 Wilson Ave
Northampton, MA 01060-3814
Phone (413) 320-3877

Other practice location 1

50 Pleasant St
Northampton, MA 01060
Phone (413) 584-6855

Other practice location 2

91 Elm St
Westfield, MA 01085-2906
Phone (413) 572-4111

Other practice location 3

22 Wilson Ave
Northampton, MA 01060-3814
Phone (413) 320-3877

Other identifiers 2

IdentifierTypeStateIssuer
0300060OtherMAMBHP
1300881MedicaidMA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
117318MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1396073748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603814",
            "telephone_number": "413-320-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603814",
            "telephone_number": "413-320-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "01060",
            "country_code": "US",
            "telephone_number": "413-584-6855",
            "fax_number": "413-585-1355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Elm St",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "MA",
            "postal_code": "010852906",
            "country_code": "US",
            "telephone_number": "413-572-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010603814",
            "country_code": "US",
            "telephone_number": "413-320-3877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZUCHI",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBHP",
            "identifier": "0300060",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.