Brian Kaczor

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

217008 Issued in MA

Practice address

1233 Main St
Holyoke, MA 01040-5381

Phone

(413) 493-2736

Fax

(413) 493-2853

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1508070319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BARRY LN",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702018",
            "telephone_number": "860-331-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 MAIN ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405381",
            "telephone_number": "413-493-2736",
            "fax_number": "413-493-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACZOR",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "217008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice A Jumba
• Eliezer J Jurado
• Jennifer Anne Jurcsak, D.O.
• Bonnie Jurgensmier
• Alana Laurie Kaczmarek, CPNP, APRN, MSN
• Eleni Maria Theodora Kalafatis, LMHC, LMFT
• Jain Kim Kang, FNP-C
• Michele Kapper, LICSW
• Teresia Karanja, NP
• Muhammad Zubair Kareem, MD

• Clinical Social Worker in Holyoke, MA
• Providers in Holyoke, 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 Sep 29, 2016; 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.