Jacqueline Channing, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000123121 Issued in MA

Practice address

78 Pomeroy Ter
Northampton, MA 01060

Phone

(413) 584-1310

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Clinical and Support Options

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1558674929
  NPD (past)
• Cutchins Program for Children and Families, Inc

  • Community/Behavioral Health Agency
  • Northampton, MA
  • NPI 1831526771
  NPD (past)
• Cutchins Programs for Children and Families, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Northampton, MA
  • NPI 1790795052
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1467988493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 POMEROY TER",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 POMEROY TER",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "01060",
            "telephone_number": "413-584-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 High St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012702",
            "country_code": "US",
            "telephone_number": "413-774-5411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANNING",
        "first_name": "JACQUELINE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy J Chandler-Guy, LICSW
• Cynthia Chandler, RN
• Davis Chandler
• Corinne Chandless, M.A. CCC-SLP
• Changing Minds
• Samantha Chaplin, M.S.W.
• Jacob A Chapman, M.D.
• Stephanie Renee Chapman, PSYD
• Steffany Lynn Charest, LCSW
• Elyse Audrey Simone Chastain-Stultz, LICSW

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.