Individual provider Active NPI

Natalie Brady, M.ED., LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1558828756
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122235 Issued in MA
Practice address
351 Pleasant St Ste B265
Northampton, MA 01060-3900
Phone
(413) 320-0877
Fax
(617) 616-0248
NPI assigned
Feb 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 122235 MA Primary

Addresses

Primary practice location

351 Pleasant St Ste B265
Northampton, MA 01060-3900

Mailing address

351 Pleasant St Ste B265
Northampton, MA 01060-3900
Phone (413) 320-0866

Other identifiers 1

IdentifierTypeStateIssuer
1740867993OtherMANPI2

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
I20191001000824 MA Practitioner - Clinical Social Worker 4082944202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

351 Pleasant St
Suite B265
Northampton, MA 01060-3900
Phone (413) 320-0877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
122235MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Therapy Solutions, LLC CurrentSince Aug 30, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1558828756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PLEASANT ST STE B265",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603900",
            "telephone_number": "413-320-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PLEASANT ST STE B265",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603900",
            "telephone_number": "413-320-0877",
            "fax_number": "617-616-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "NATALIE",
        "credential": "M.ED., LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2022-02-16",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "122235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1740867993",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.