Active NPI
Jane Ann Haling, LICSW
- Clinical Social Worker
- Pittsfield, MA
National Provider Identifier
1407923162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1018779
- Practice address
- 333 East St
Brien Center
Pittsfield, MA 01201-5312 - Phone
- (413) 499-0412
- Fax
- (413) 499-0979
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1018779 | MA | Primary |
Addresses
Primary practice location
333 East St
Brien Center
Pittsfield, MA 01201-5312
Mailing address
21 Crofut St
Pittsfield, MA 01201-6801
Phone (413) 445-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31661 | Other | MA | HEALTH NEW ENGLAND |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407923162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CROFUT ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016801",
"telephone_number": "413-445-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 EAST ST",
"address_2": "BRIEN CENTER",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015312",
"telephone_number": "413-499-0412",
"fax_number": "413-499-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALING",
"first_name": "JANE",
"middle_name": "ANN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1018779",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "31661",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.