Jessica Prodis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

30 Florence Ave
Holyoke, MA 01040-1813

Phone

(413) 687-8239

NPI assigned

Oct 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Resilience PCGroup PAC ID 0244645919, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Center for Resilience, PC

  • Mental Health Counselor
  • Holyoke, MA
  • NPI 1730781584
  NPD Authorized official
• Jessica Prodis Licsw

  • Clinical Social Worker
  • Holyoke, MA
  • NPI 1780191726
  NPD Authorized official

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1407166341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FLORENCE AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401813",
            "telephone_number": "413-687-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FLORENCE AVE",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401813",
            "telephone_number": "413-687-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRODIS",
        "first_name": "JESSICA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-01-30",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Byron Prather, LICSW
• Alison Preloznik
• Jessie Presbie, LMFT
• Preventive Medicine Associates
• Pro Spine Rehab LLC.
• Providence Behavioral Health Hospital
• Proxsys RX - Ma LLC
• Lawrence H. Prusak, M.A.
• Psychotherapy With Rosa Guzman, Licsw, LLC
• Alyssa Puia, PHARMD

• Clinical Social Worker in Holyoke, MA
• Providers in Holyoke, 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 Jan 30, 2024; 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.