Individual provider Active NPI

Jason Aaron Rose-Langston, LICSW

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1467468512
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111930 Issued in MA
Practice address
116 Pleasant St
Suite # 316
Easthampton, MA 01027-2752
Phone
(413) 695-6633
Fax
(413) 604-0203
NPI assigned
Jul 31, 2006
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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 111930 MA Primary

Addresses

Primary practice location

116 Pleasant St
Suite # 316
Easthampton, MA 01027-2752

Mailing address

116 Pleasant St
Suite # 316
Easthampton, MA 01027-2752
Phone (413) 695-6633

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
I20040812000664 MA Practitioner - Clinical Social Worker 7911979547 Practice locations: Easthampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Union St
Suite 201
Easthampton, MA 01027-4100
Phone (413) 695-6633

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1467468512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PLEASANT ST",
            "address_2": "SUITE # 316",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272752",
            "telephone_number": "413-695-6633",
            "fax_number": "413-604-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PLEASANT ST",
            "address_2": "SUITE # 316",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272752",
            "telephone_number": "413-695-6633",
            "fax_number": "413-604-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE-LANGSTON",
        "first_name": "JASON",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.