Individual provider Active NPI

Michael Joseph Macmunn, LICSW

  • Clinical Social Worker
  • Westfield, MA
National Provider Identifier
1427104694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111333 Issued in MA
Practice address
30 Court St
Westfield, MA 01085-3500
Phone
(413) 562-8045
Fax
(413) 562-8049
NPI assigned
Jan 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 111333 MA Primary

Addresses

Primary practice location

30 Court St
Westfield, MA 01085-3500

Mailing address

288 North Rd
Westfield, MA 01085-9722
Phone (413) 562-8045

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
I20050822000099 MA Practitioner - Clinical Social Worker 0042240863 Practice locations: Westfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30 Court St
Westfield, MA 01085-3471
Phone (413) 562-8045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427104694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 NORTH RD",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010859722",
            "telephone_number": "413-562-8045",
            "fax_number": "413-562-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853500",
            "telephone_number": "413-562-8045",
            "fax_number": "413-562-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACMUNN",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

Verify at the official NPI Registry.