Individual provider Active NPI

Carissa G Cutler, LICSW

  • Clinical Social Worker
  • West Springfield, MA
National Provider Identifier
1669729125
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119777 Issued in MA
Practice address
200 Hillside Cir Ste 4
West Springfield, MA 01089-4681
Phone
(413) 333-2682
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119777 MA Primary

Addresses

Primary practice location

200 Hillside Cir Ste 4
West Springfield, MA 01089-4681

Mailing address

200 Hillside Cir Ste 4
West Springfield, MA 01089-4681
Phone (413) 333-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706000883 MA Practitioner - Clinical Social Worker 3072869924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119777MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Mar 12, 2025 Accepting new patients
Center for Human Development, Inc. Clinical CurrentSince Mar 12, 2025 Accepting new patients

Locations

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

200 Hillside Cir
Ste 4
West Springfield, MA 01089
Phone (413) 333-2682

Organizations & group practices 2

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1669729125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HILLSIDE CIR STE 4",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894681",
            "telephone_number": "413-333-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HILLSIDE CIR STE 4",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894681",
            "telephone_number": "413-333-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "CARISSA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.