Individual provider Active NPI

Susan Ellen Sprung, MSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1467497289
Registry record updated Oct 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104088 Issued in MA
Practice address
55 Federal Street, Suite 200
Greenfield, MA 01376-1830
Phone
(413) 772-0707
Fax
(413) 772-0865
NPI assigned
Jun 17, 2006
Last updated
Oct 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2012

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 104088 MA Primary

Addresses

Primary practice location

55 Federal Street, Suite 200
Greenfield, MA 01376-1830

Mailing address

55 Federal St
Suite 200
Greenfield, MA 01301-2546
Phone (413) 772-0707

Other identifiers 8

IdentifierTypeStateIssuer
387166OtherMATUFTS
7691523OtherMAAETNA
407200OtherMAMAGELLAN
110031638MedicaidMA
12099338OtherUNITED BEHAVIORAL HEALTH
P05627OtherMABLUE CROSS/BLUE SHIELD
32977OtherMAHEALTH NEW ENGLAND
1079120OtherBEACON HEALTH SERVICES

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
I20051025000792 MA Practitioner - Clinical Social Worker 2961429360 Practice locations: Greenfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 Federal St
Suite 200
Greenfield, MA 01301-2546
Phone (413) 772-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Franklin Medical Center Current Accepting new patients
Montague Psychological Associates Past Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349568000000",
    "number": "1467497289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FEDERAL ST",
            "address_2": "SUITE 200",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012546",
            "telephone_number": "413-772-0707",
            "fax_number": "413-774-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FEDERAL STREET, SUITE 200",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013761830",
            "telephone_number": "413-772-0707",
            "fax_number": "413-772-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUNG",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "387166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7691523",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "407200",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110031638",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "12099338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "P05627",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "32977",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH SERVICES",
            "identifier": "1079120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.