Maryann Palchak, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110939 Issued in MA

Practice address

PO Box 907
South Hadley, MA 01075-0907

Phone

(413) 436-2007

Fax

(413) 436-2007

NPI assigned

Nov 8, 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

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• River Valley Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holyoke, MA
  • NPI 1851444616

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1497825764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010750907",
            "telephone_number": "413-436-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 907",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010750907",
            "telephone_number": "413-436-2007",
            "fax_number": "413-436-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALCHAK",
        "first_name": "MARYANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Orwat, OTR/L
• Allegra Osborne
• Oscar Bail & Son, Inc.
• Ashlee Lorin Osowski, NP
• Tina Palatino, M.ED.,DS
• Pamela McConnell Licsw
• Sarah A Paquette
• Alyssa Gisele Pawlowski, NP
• Edward John Pelc Jr., RPH
• Jose Alfonso Peralta Gonzalez, DMD

• Clinical Social Worker in South Hadley, MA
• Providers in South Hadley, 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 Jul 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.