Active NPI
Elana Klugman, M.S.W.
- Clinical Social Worker
- Northampton, MA
National Provider Identifier
1629143771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1018353
- Practice address
- 13 Old South St Ste 1E
Northampton, MA 01060-3870 - Phone
- (413) 584-0600
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1018353 | MA | Primary |
Addresses
Primary practice location
13 Old South St Ste 1E
Northampton, MA 01060-3870
Mailing address
13 Kettle Hill Rd
Amherst, MA 01002-9522
Phone (413) 548-9793
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327560 | Other | MA | MHN |
| P06452 | Other | MA | BLUE CROSS BLUE SHIELD MA |
| 11896 | Other | MA | CIGNA |
| 104404 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018353 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629143771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 KETTLE HILL RD",
"city": "AMHERST",
"state": "MA",
"postal_code": "010029522",
"telephone_number": "413-548-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 OLD SOUTH ST STE 1E",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603870",
"telephone_number": "413-584-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUGMAN",
"first_name": "ELANA",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1018353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "327560",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MA",
"identifier": "P06452",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "11896",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "104404",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northampton, MA
Sources for this page
- 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.