Individual provider Active NPI

Anielle Rose Iwanicki, MSW

  • Social Worker
  • Pittsfield, MA
National Provider Identifier
1548075427
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW2130058 Issued in MA
Practice address
75 S Church St
Pittsfield, MA 01201-6157
Phone
(833) 623-9750
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW2130058 MA Primary

Addresses

Primary practice location

75 S Church St
Pittsfield, MA 01201-6157

Mailing address

PO Box 2432
Pittsfield, MA 01202-2432
Phone (833) 623-9750

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW2130058MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community First Therapy and Consulting, LLC CurrentSince Feb 23, 2025 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23298/brand/1/csg/1/fhir/r4

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1548075427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2432",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012022432",
            "telephone_number": "833-623-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S CHURCH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016157",
            "telephone_number": "833-623-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANICKI",
        "first_name": "ANIELLE",
        "middle_name": "ROSE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "LCSW2130058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.