Laura May Pravitz, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1018385 Issued in MA

Practice address

75 Depot Road
Haydenville, MA 01039

Phone

(413) 268-0218

NPI assigned

Apr 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659591923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 DEPOT ROAD",
            "city": "HAYDENVILLE",
            "state": "MA",
            "postal_code": "01039",
            "telephone_number": "413-268-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 DEPOT ROAD",
            "city": "HAYDENVILLE",
            "state": "MA",
            "postal_code": "01039",
            "telephone_number": "413-268-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVITZ",
        "first_name": "LAURA",
        "middle_name": "MAY",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1018385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857410",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Muzzy
• Marla Jane O'Shea-Bulman, PHARM.D.
• Kristie Ann Overstreet, COTA
• Jonathan Parad, PH.D.
• Amy Nadler Pilger
• Sam Chaplin Psychotherapy Inc.
• Ellen Smith, PHD
• William R Smith, MD
• Elizabeth Gabriel Tyler Majka

• Clinical Social Worker in Haydenville, MA
• Providers in Haydenville, 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.