Kathleen Elizabeth Damon, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105969 Issued in MA

Practice address

20 Broad St
Westfield, MA 01085-2902

Phone

(413) 572-4108

NPI assigned

Jan 5, 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)

Not enrolled

State licenses

Practice roles

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.

• Carson Center for Human Services, Inc.

  • Community/Behavioral Health Agency
  • Westfield, MA
  • NPI 1457385460
  NPD (past)
• The Carson Center

  • Public Health or Welfare Agency
  • Westfield, MA
  • NPI 1215975842
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669529020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 HILLCREST CIR",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851870",
            "telephone_number": "413-572-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BROAD ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010852902",
            "telephone_number": "413-572-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMON",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Czupkiewicz, LMHC, CADC II
• Meghan L D'Angelo
• Samantha Dagesse
• Christine Kingsland Dagostino, M.A.
• Kimberly Annabell Dallas
• Kenneth R Dandurand, R.PH.
• Rachel Lynn Dane
• Alexander Darby
• Stephanie Darby
• David W. Cordes, D.M.D.,M.D.S.,P.C.

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