Deirdre Nicole McGinniss, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

225651 Issued in MA

Practice address

1236 Main St Ste 301
Holyoke, MA 01040-5370

Phone

(413) 561-0060

Fax

(413) 532-0253

NPI assigned

Jun 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Deirdre Nicole Brazenall Former name

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amherst Psychotherapy Practice PCGroup PAC ID 6901231018, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amherst Psychotherapy Practice PC

  • Mental Health Counselor
  • Amherst, MA
  • NPI 1134760812

  Social Worker

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1578057972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST STE 301",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-561-0060",
            "fax_number": "413-532-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST STE 301",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-561-0060",
            "fax_number": "413-532-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNISS",
        "first_name": "DEIRDRE",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "225651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "BRAZENALL",
            "middle_name": "NICOLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabrina B McCullough
• John Haviland McDonald, DC
• Linda Lee McDonald, OTR/L
• Donna Ann McGhee, SLP
• Danielle McGibbon, DDS
• Caron McGuill, MS
• Sarah A McIntyre, MSW
• Susanita McNabb, PA-C
• Melanie McNeill
• Ann-Marie McPherson

• Social Worker in Holyoke, MA
• Providers in Holyoke, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.