Individual provider Active NPI

Geoffrey Walker Locke, LICSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1447341532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110298 Issued in MA
Practice address
48 N Pleasant St
Suite 205
Amherst, MA 01002-1738
Phone
(413) 253-8900
NPI assigned
Sep 27, 2006
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 110298 MA Primary

Addresses

Primary practice location

48 N Pleasant St
Suite 205
Amherst, MA 01002-1738

Mailing address

48 N Pleasant St
Suite 205
Amherst, MA 01002-1738
Phone (413) 253-8900

Other identifiers 1

IdentifierTypeStateIssuer
P07767OtherMABLUE CROSS BLUE SHIELD NU

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
I20041103000355 MA Practitioner - Clinical Social Worker 2062474810 Practice locations: Amherst, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

48 N Pleasant St
Suite 302
Amherst, MA 01002-1758
Phone (413) 253-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
110298MAMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447341532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST",
            "address_2": "SUITE 205",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021738",
            "telephone_number": "413-253-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST",
            "address_2": "SUITE 205",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021738",
            "telephone_number": "413-253-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "GEOFFREY",
        "middle_name": "WALKER",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NU",
            "identifier": "P07767",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.