Individual provider Active NPI

Constance Marie Crain, LICSW

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1659448330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110775 Issued in MA
Practice address
575 Beech St
Behavioral Health
Holyoke, MA 01040-2223
Phone
(413) 534-2626
Fax
(413) 534-2659
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 110775 MA Primary

Addresses

Primary practice location

575 Beech St
Behavioral Health
Holyoke, MA 01040-2223

Mailing address

575 Beech St
Behavioral Health
Holyoke, MA 01040-2223
Phone (413) 534-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Community Care Current Accepting new patients
Holyoke Medical Center, Inc. PastSince Oct 24, 1995 Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
Ellen Murphy-Mancini PHD & Associates Clinical PastSince Jun 14, 2022 Accepting new patients

Locations

11279 Perry Hwy
Ste 450
Wexford, PA 15090

11279 Perry Hwy
Wexford, PA 15090
Phone (724) 933-1000

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 and National Provider Directory roles.

NPI Registry JSON

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": "1659448330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "address_2": "BEHAVIORAL HEALTH",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2626",
            "fax_number": "413-534-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BEECH ST",
            "address_2": "BEHAVIORAL HEALTH",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402223",
            "telephone_number": "413-534-2626",
            "fax_number": "413-534-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "CONSTANCE",
        "middle_name": "MARIE",
        "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": "110775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.