Individual provider Active NPI

Courtney K Weinberg, MSW ,LICSW

  • Clinical Social Worker
  • Longmeadow, MA
National Provider Identifier
1477977650
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120198 Issued in MA
Practice address
813 Williams St Ste 208
Longmeadow, MA 01106-2052
Phone
(413) 486-0322
NPI assigned
Feb 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 120198 MA Primary

Addresses

Primary practice location

813 Williams St Ste 208
Longmeadow, MA 01106-2052

Mailing address

18 McIntosh Dr
Wilbraham, MA 01095-2654
Phone (413) 887-1912

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
I20170420001646 MA Practitioner - Clinical Social Worker 6002192333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Network IncGroup PAC ID 3072596360, 146 clinicians

Practice addresses (Care Compare)

77 Mill St
Westfield, MA 01085-4598
Phone (413) 568-1421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120198MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc CurrentSince Oct 5, 2020 Accepting new patients
Behavioral Health Network Inc CurrentSince Oct 5, 2020 Accepting new patients
River Valley Counseling Center, Inc Clinical CurrentSince Mar 16, 2017 Accepting new patients

Locations

249 Exchange St
Chicopee, MA 01013
Phone (413) 594-2141

319 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

40 Bobala Rd
Holyoke, MA 01040
Phone (413) 536-5473

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

77 Mill St
Westfield, MA 01085
Phone (413) 568-6141

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1477977650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MCINTOSH DR",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010952654",
            "telephone_number": "413-887-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 WILLIAMS ST STE 208",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062052",
            "telephone_number": "413-486-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "COURTNEY",
        "middle_name": "K",
        "credential": "MSW ,LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.