Individual provider Active NPI

Melissa B Hensen, LICSW

  • Clinical Social Worker
  • West Springfield, MA
National Provider Identifier
1477796530
Registry record updated Apr 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107965 Issued in MA
Practice address
10 Beauview Ter
West Springfield, MA 01089-2622
Phone
(413) 736-3370
NPI assigned
Apr 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 107965 MA Primary
Clinical Social Worker 1041C0700X 004418 CT

Addresses

Primary practice location

10 Beauview Ter
West Springfield, MA 01089-2622

Mailing address

10 Beauview Ter
West Springfield, MA 01089-2622
Phone (413) 736-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004418CTMDClinical Social Worker
107965MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240099200000",
    "number": "1477796530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BEAUVIEW TER",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892622",
            "telephone_number": "413-736-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BEAUVIEW TER",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892622",
            "telephone_number": "413-736-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSEN",
        "first_name": "MELISSA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2009-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107965",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; 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.