Individual provider Active NPI

Kathleen C. Eaton, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1487881991
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115786 Issued in MA
Practice address
28 High St
Greenfield, MA 01301-2973
Phone
(413) 834-1562
Fax
(413) 774-3599
NPI assigned
Jun 11, 2009
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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 214841 MA
Clinical Social Worker 1041C0700X 115786 MA Primary

Addresses

Primary practice location

28 High St
Greenfield, MA 01301-2973

Mailing address

28 Holton St
#1
Northfield, MA 01360-1116
Phone (413) 834-1562

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115786MAMDClinical Social Worker
214841MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1487881991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HOLTON ST",
            "address_2": "#1",
            "city": "NORTHFIELD",
            "state": "MA",
            "postal_code": "013601116",
            "telephone_number": "413-834-1562",
            "fax_number": "413-774-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HIGH ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012973",
            "telephone_number": "413-834-1562",
            "fax_number": "413-774-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "KATHLEEN",
        "middle_name": "C.",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "214841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.