Jeffrey Livingston, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110534 Issued in MA

Practice address

40 Wright Street
Wing Memorial Hospital Griswold Center
Palmer, MA 01069

Phone

(413) 284-5285

Fax

(413) 284-5384

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baystate Wing Hospital CorporationGroup PAC ID 9335048321, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baystate Wing Hospital Corporation

  dba Baystate Wing Hospital & Medical Centers

  • General Acute Care Hospital
  • Palmer, MA
  • NPI 1962410233
  Medicare reassignment Care Compare group NPD
• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909
  Medicare reassignment NPD
• Baystate Wing Hospital Corporation

  • Psychiatric Hospital Unit
  • Palmer, MA
  • NPI 1992880736
  NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669407805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WRIGHT STREET",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "01069",
            "telephone_number": "413-283-7651",
            "fax_number": "413-284-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WRIGHT STREET",
            "address_2": "WING MEMORIAL HOSPITAL GRISWOLD CENTER",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "01069",
            "telephone_number": "413-284-5285",
            "fax_number": "413-284-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVINGSTON",
        "first_name": "JEFFREY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Edward Lellman, MD
• Caren Les
• Connie Leung, NP
• Jill Levin, DO, MPH
• Thomas C Levy, LMHC
• Gina L Luciano, MD
• Janet R Magnani, MD
• David L Maguire, M.D.
• Suania Maldonado, CLINICIAN
• Manomednet Inc. (Manomednet)

• Clinical Social Worker in Palmer, MA
• Providers in Palmer, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.