Individual provider Active NPI

Stephanie Nesbitt

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1578968350
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
124215 Issued in MA
Practice address
141 North St
Pittsfield, MA 01201-5156
Phone
(413) 442-4003
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 220938 MA
Clinical Social Worker 1041C0700X 124215 MA Primary

Addresses

Primary practice location

141 North St
Pittsfield, MA 01201-5156

Mailing address

PO Box 910
Lanesborough, MA 01237-0910
Phone (517) 420-8503

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
I20211207001307 MA Practitioner - Clinical Social Worker 9436549466 Reassigns benefits to 1 organization
Practice locations: Pittsfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

75 S Church St
Suite 2C
Pittsfield, MA 01201-6135
Phone (413) 603-0465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220938MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc CurrentSince Oct 7, 2021 Accepting new patients

Locations

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

141 North St
Pittsfield, MA 01201
Phone (413) 442-4003

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1578968350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "LANESBOROUGH",
            "state": "MA",
            "postal_code": "012370910",
            "telephone_number": "517-420-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015156",
            "telephone_number": "413-442-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "220938",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "124215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.