Individual provider Active NPI

Zachary Kinsley, LICSW

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1518581552
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125459 Issued in MA
Practice address
140 High St Ste 230
Springfield, MA 01105-1435
Phone
(478) 951-5489
NPI assigned
Jun 5, 2020
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 125459 MA Primary

Addresses

Primary practice location

140 High St Ste 230
Springfield, MA 01105-1435

Mailing address

134 N Brook Rd
Springfield, MA 01119-2122
Phone (478) 951-5489

Other practice location 1

82 Wendell Ave Ste 100
Pittsfield, MA 01201-7066
Phone (478) 951-5489

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

LicenseStateTypeSpecialty
125459MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affirmative Therapy of Western Massachusetts LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1518581552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N BROOK RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011192122",
            "telephone_number": "478-951-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIGH ST STE 230",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051435",
            "telephone_number": "478-951-5489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Wendell Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012017066",
            "country_code": "US",
            "telephone_number": "478-951-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSLEY",
        "first_name": "ZACHARY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.