Active NPI
Andrew Wnuk, LICSW
- Clinical Social Worker
- Northampton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 120714
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3907 | CT | MD | Clinical Psychologist |
| 120714 | MA | MD | Clinical Social Worker |
| 003907 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Healthcare LLC | Clinical | Current | Accepting new patients |
| Servicenet Inc | Current | Accepting new patients | |
| Applied Behavioral Sciences LLC | Clinical | Past | Accepting new patients |
| Collaborative Psychiatric Services, LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northampton, MA
- NPI 1659314425
-
- Clinical Social Worker
- Avon, CT
- NPI 1477712917
-
- Clinical Psychologist
- West Hartford, CT
- NPI 1386782977
-
- Psychiatric/Mental Health Nurse Practitioner
- Plainville, CT
- NPI 1841467958
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.