Seweryn Kolysko

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120921 Issued in MA

Practice address

48 N Pleasant St # 205
Amherst, MA 01002-1738

Phone

(623) 202-8243

Fax

(413) 961-2975

NPI assigned

Oct 18, 2013

Sex

Male

Sole proprietor

No

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)

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

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 7, 2019.

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1588092092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST # 205",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021738",
            "telephone_number": "623-202-8243",
            "fax_number": "413-961-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST # 205",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021738",
            "telephone_number": "623-202-8243",
            "fax_number": "413-961-2975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Federal St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012546",
            "country_code": "US",
            "telephone_number": "413-772-2935 x4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLYSKO",
        "first_name": "SEWERYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kirschner Sachs, MSW
• Jonathan S Klate, PH.D., LIC. ACUP.
• Stephen M Klein, PHD
• Christine Ann Kline, PH.D.
• Adam Edwin Kobialka, D.O.
• Maria T Kopicki, MD
• Regina M Kowal, NP
• Anne Krauss, LICSW
• Paul E. Krepel, LMFT
• Barry Krimsky, LMHC

• All providers in Amherst, MA
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.