Maureen Elizabeth Dimock Clark, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115434 Issued in MA

Practice address

27 Golden Dr
Easthampton, MA 01027-2565

Phone

(413) 200-7437

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maureen Elizabeth Dimock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amherst Psychotherapy Practice PC

  • Mental Health Counselor
  • Amherst, MA
  • NPI 1134760812

  Clinical

  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1477640936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GOLDEN DR",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272565",
            "telephone_number": "413-200-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GOLDEN DR",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010272565",
            "telephone_number": "413-200-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOCK CLARK",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "DIMOCK",
            "middle_name": "ELIZABETH",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Moreno Denisha Moreno
• Renee Marie Desmarais, LMHC
• Christa Desroches
• Diane M Debenedetto
• Stephanie Dimichele
• Christine Marie Donatone, M.A., CCC-SLP
• Joann M Donnelly, MA, CCC-SLP
• Dr Nora E Hanke, PC
• Dr. Donald a. Tremblay D.M.D.PC
• Elizabeth Anne Drozdal

• Clinical Social Worker in Easthampton, MA
• Providers in Easthampton, 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 May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.