Marcia Branch

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Chicopee, MA

NPI 1598086092 · NPPES record last updated Jan 20, 2017

Key facts

NPI
1598086092
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
1027233 (MA)
Practice address
628 Center St
Chicopee, MA 01013-1589
Phone
(413) 746-0051
NPI assigned
Jun 18, 2010
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1027233MAMDAddiction (Substance Use Disorder) Counselor
1012MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians PC Past Accepting new patients
Community Health Care, Inc. Addiction (Substance Use Disorder) Past
since Dec 1, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1027233 MA Yes
Addiction (Substance Use Disorder) Counselor 101YA0400X 1012 MA

Addresses

Primary practice location

628 Center St
Chicopee, MA 01013-1589

Mailing address

319 Beech St
Holyoke, MA 01040-3968
Phone (413) 540-1155

Other providers in Chicopee, MA

All providers in Chicopee, MA · Addiction (Substance Use Disorder) Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.