Active NPI
Marla R. Killough, MSW
- Clinical Social Worker
- Greenfield, MA
National Provider Identifier
1659887479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1021136
- Practice address
- 164 High St
Greenfield, MA 01301-2613 - Phone
- (413) 773-2675
- NPI assigned
- Dec 15, 2017
- Last updated
- Dec 15, 2017
- 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 | 1021136 | MA | Primary |
Addresses
Primary practice location
164 High St
Greenfield, MA 01301-2613
Mailing address
53 Pelham Hill Rd
Shutesbury, MA 01072-9702
Phone (413) 259-1448
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1021136 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1659887479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 PELHAM HILL RD",
"city": "SHUTESBURY",
"state": "MA",
"postal_code": "010729702",
"telephone_number": "413-259-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 HIGH ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012613",
"telephone_number": "413-773-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLOUGH",
"first_name": "MARLA",
"middle_name": "R.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1021136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.