Individual provider Active NPI

Katherine Williams

  • Clinical Social Worker
  • Marstons Mills, MA
National Provider Identifier
1497202824
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002953 Issued in CT
Practice address
2064 Main Street
Marstons Mills, MA 02648-1863
Phone
(860) 806-1110
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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 002953 CT Primary

Addresses

Primary practice location

2064 Main Street
Marstons Mills, MA 02648-1863

Mailing address

2064 Main St
Marstons Mills, MA 02648-1863
Phone (860) 806-1110

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
I20250220002480 MA Practitioner - Clinical Social Worker 3870013865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002953CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lorenzi Health LLC CurrentSince Dec 12, 2024 Accepting new patients

Locations

1767 Northampton St
Holyoke, MA 01040
Phone (413) 200-0575

98 Lower Westfield Rd
Ste 101
Holyoke, MA 01040
Phone (413) 282-8636

Organizations & group practices 1

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1497202824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 MAIN ST",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481863",
            "telephone_number": "860-806-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 MAIN STREET",
            "city": "MARSTONS MILLS",
            "state": "MA",
            "postal_code": "026481863",
            "telephone_number": "860-806-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marstons Mills, MA

Sources for this page

Verify at the official NPI Registry.