Individual provider Active NPI

Megan Laura Camp, MSW, LICSW

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1578609129
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111250 Issued in MA
Practice address
181 Northampton St.
Suite B-4
Easthampton, MA 01027-1181
Phone
(413) 575-6394
Fax
(413) 527-7730
NPI assigned
Jan 30, 2007
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 111250 MA Primary

Addresses

Primary practice location

181 Northampton St.
Suite B-4
Easthampton, MA 01027-1181

Mailing address

233 State Rd
South Deerfield, MA 01373-9650
Phone (413) 665-1051

Other identifiers 1

IdentifierTypeStateIssuer
111250OtherMALIC. INDEP. CLIN. SOCIAL

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
I20101111000439 MA Practitioner - Clinical Social Worker 0042405466 Practice locations: Easthampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

181 Northampton St
Easthampton, MA 01027-1181
Phone (413) 575-6394

181 Northampton St
Suite B4
Easthampton, MA 01027-1180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111250MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Society for the Prevention of Cruelty to Children PastSince Jan 1, 2008 Accepting new patients
Mspcc Mass Society of Prevention of Crualty to Children Past Accepting new patients

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1578609129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 STATE RD",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739650",
            "telephone_number": "413-665-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 NORTHAMPTON ST.",
            "address_2": "SUITE B-4",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271181",
            "telephone_number": "413-575-6394",
            "fax_number": "413-527-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "MEGAN",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. INDEP. CLIN. SOCIAL",
            "identifier": "111250",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.