Individual provider Active NPI

Liam Botelho

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1588236947
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
228087 Issued in MA
Practice address
102 Main St
Greenfield, MA 01301-3275
Phone
(413) 774-6252
NPI assigned
Jul 15, 2021
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 228087 MA Primary

Addresses

Primary practice location

102 Main St
Greenfield, MA 01301-3275

Mailing address

474 Main St Ste 7
Greenfield, MA 01301-3315

Other practice location 1

474 Main St Ste 7
Greenfield, MA 01301-3315
Phone (413) 345-2786

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
I20240509003670 MA Practitioner - Clinical Social Worker 6305289257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Main St
Suite 2
Greenfield, MA 01301-3275
Phone (413) 774-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
228087MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talb PC Clinical CurrentSince Jan 12, 2024 Accepting new patients
Center for Human Development, Inc CurrentSince Apr 15, 2024 Accepting new patients
Center for Human Development, Inc. Clinical CurrentSince Apr 15, 2024 Accepting new patients
Dr. Elizabeth Peterson Chiropractic & Natural Health PastSince Apr 1, 2008 Accepting new patients

Locations

102 Main St
Greenfield, MA 01301
Phone (413) 325-8500

102 Main St
Ste 2
Greenfield, MA 01301
Phone (413) 262-0193

474 Main St
Ste 7
Greenfield, MA 01301
Phone (413) 345-2786

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2124

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 4

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1588236947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 MAIN ST STE 7",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013275",
            "telephone_number": "413-774-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "474 Main St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013013315",
            "country_code": "US",
            "telephone_number": "413-345-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "LIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.