Individual provider Active NPI

Andrew Wnuk, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1669672341
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120714 Issued in MA
Practice address
50 Pleasant St
Northampton, MA 01060-4127
Phone
(413) 584-6855
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 003907 CT
Clinical Social Worker 1041C0700X 120714 MA Primary

Addresses

Primary practice location

50 Pleasant St
Northampton, MA 01060-4127

Mailing address

50 Pleasant St
Northampton, MA 01060-4127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051208000710 CT Practitioner - Clinical Social Worker 6204857063 Reassigns benefits to 1 organization
Practice locations: Rocky Hill, CT
I20191031002629 MA Practitioner - Clinical Social Worker 6204857063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

141 N St
Pittsfield, MA 01201-5156
Phone (413) 442-4003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3907CTMDClinical Psychologist
120714MAMDClinical Social Worker
003907CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harvest Healthcare LLC Clinical CurrentSince Jan 29, 2016 Accepting new patients
Servicenet Inc CurrentSince Feb 4, 2021 Accepting new patients
Applied Behavioral Sciences LLC Clinical Past Accepting new patients
Collaborative Psychiatric Services, LLC PastSince Oct 1, 2009 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

20 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 677-7707

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

141 North St
Pittsfield, MA 01201
Phone (413) 442-4003

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1669672341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604127",
            "telephone_number": "413-584-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WNUK",
        "first_name": "ANDREW",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "120714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.