Active NPI
Hawthorn Services, Inc.
- Clinical Social Worker
- Chicopee, MA
National Provider Identifier
1457418782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HAWTHORN SERVICES, INC.
- Practice address
- 93 Main St
Chicopee, MA 01020-1836 - Phone
- (413) 592-5199
- Fax
- (413) 594-8693
- NPI assigned
- Jan 3, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Callahan
- Title
- Executive Director
- Phone
- (413) 592-5199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
93 Main St
Chicopee, MA 01020-1836
Mailing address
93 Main St
Chicopee, MA 01020-1836
Phone (413) 592-5199
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1904396 | Medicaid | MA | |
| 9904701 | Medicaid | MA | |
| 60-00575 | Other | MA | EVERCARE (UNTDHLTH) ID |
| 1902733 | Medicaid | MA | |
| 1904761 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
78 Main St
Chicopee, MA 01020
Phone (413) 598-9680
93 Main St
Chicopee, MA 01020
Phone (413) 592-5199
265 State St
Rear
Springfield, MA 01103
Phone (413) 787-0606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Chicopee, MA
- NPI 1578607859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457418782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201836",
"telephone_number": "413-592-5199",
"fax_number": "413-594-8693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201836",
"telephone_number": "413-592-5199",
"fax_number": "413-594-8693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWTHORN SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "413-592-5199",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1904396",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9904701",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE (UNTDHLTH) ID",
"identifier": "60-00575",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902733",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1904761",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.