Individual provider Active NPI

Abigail W Reifsnyder, LICSW

  • Clinical Social Worker
  • Williamstown, MA
National Provider Identifier
1639302565
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115251 Issued in MA
Practice address
681 Simonds Rd
Williamstown, MA 01267-2105
Phone
(413) 458-9600
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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 115251 MA Primary

Addresses

Primary practice location

681 Simonds Rd
Williamstown, MA 01267-2105

Mailing address

681 Simonds Rd
Williamstown, MA 01267-2105
Phone (413) 458-9600

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
I20200117001086 MA Practitioner - Clinical Social Worker 3476988536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 Mass Moca Way
North Adams, MA 01247-2411
Phone (413) 446-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115251MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Counseling, LLC CurrentSince Oct 19, 2019 Accepting new patients
Siracusa Associates Behavioral Health LLC Past Accepting new patients
Williamstown Behavioral Health Associates PastSince Jan 5, 2020 Accepting new patients

Locations

135 Mass Moca Way
North Adams, MA 01247
Phone (413) 446-8833

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1639302565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 SIMONDS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672105",
            "telephone_number": "413-458-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SIMONDS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672105",
            "telephone_number": "413-458-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFSNYDER",
        "first_name": "ABIGAIL",
        "middle_name": "W",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, MA

Sources for this page

Verify at the official NPI Registry.