Active NPI
Linda Ann Spataro, LICSW
- Clinical Social Worker
- West Springfield, MA
National Provider Identifier
1508913732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 106224
- Practice address
- 380 Union St
Suite 112
West Springfield, MA 01089-4123 - Phone
- (413) 736-7180
- Fax
- (413) 567-3507
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 106224 | MA | Primary |
Addresses
Primary practice location
380 Union St
Suite 112
West Springfield, MA 01089-4123
Mailing address
380 Union Street
Suite 112
West Springfield, MA 01089
Phone (413) 736-7180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P04110 | Other | MA | BLUE CROSS |
| 017888 | Other | MA | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106224 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508913732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 UNION STREET",
"address_2": "SUITE 112",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "01089",
"telephone_number": "413-736-7180",
"fax_number": "413-567-3507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 UNION ST",
"address_2": "SUITE 112",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894123",
"telephone_number": "413-736-7180",
"fax_number": "413-567-3507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATARO",
"first_name": "LINDA",
"middle_name": "ANN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "106224",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "P04110",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "017888",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.