Individual provider Active NPI

Constance Claudia Kochanek, LICSW

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1538235288
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113589 Issued in MA
Practice address
69 Shamrock St
Springfield, MA 01108-1220
Phone
(413) 297-8980
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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 113589 MA Primary

Addresses

Primary practice location

69 Shamrock St
Springfield, MA 01108-1220

Mailing address

69 Shamrock St
Springfield, MA 01108-1220
Phone (413) 297-8980

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
I20160212001153 MA Practitioner - Clinical Social Worker 4880998723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Counseling Center IncGroup PAC ID 4981694999, 57 clinicians

Practice addresses (Care Compare)

303 Beech St
Holyoke, MA 01040-3968
Phone (413) 540-1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc Clinical CurrentSince Nov 30, 2015 Accepting new patients

Locations

319 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1538235288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SHAMROCK ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011081220",
            "telephone_number": "413-297-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SHAMROCK ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011081220",
            "telephone_number": "413-297-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHANEK",
        "first_name": "CONSTANCE",
        "middle_name": "CLAUDIA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.