Ann Greenbaum-Mucia, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1021869 Issued in MA

Practice address

333 East St
Brien Center
Pittsfield, MA 01201-5312

Phone

(413) 499-0412

Fax

(413) 499-0979

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619044203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ELAINE DR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014417",
            "telephone_number": "413-442-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EAST ST",
            "address_2": "BRIEN CENTER",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015312",
            "telephone_number": "413-499-0412",
            "fax_number": "413-499-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM-MUCIA",
        "first_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31656",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P20798",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Great Meadows Counseling and Wellness PLLC
• Friederike Grebeldinger, M.D.
• Donald James Greeley Jr., MD
• Green Mountain Neurology, Inc
• Allison Green
• Leanna Jill Greenberg, MS
• Richard A Greene, M.D.
• Peter W Greenwald, M.D.
• Kati Gregory
• Jonathan B Grenoble, M.D.

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.