Brendan Walsh
Individual provider Active NPI Clinical Social Worker · Westfield, MA
NPI 1669730636 · NPPES record last updated Apr 27, 2012
Key facts
- NPI
- 1669730636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 77 Mill St
Westfield, MA 01085-4598 - Phone
- (413) 572-4101
- NPI assigned
- Apr 27, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
77 Mill St
Westfield, MA 01085-4598
Mailing address
77 Mill St
Westfield, MA 01085-4598
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1300881 | Medicaid | MA |
Other providers in Westfield, MA
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Walgreen Eastern Co Inc
- Alannah Marie Walker
- Ashley Nicole Wands
- Kathryn P Ward
- Nadine Gay Warren Nicholson
- Mary Allen Watson
- Patricia A. Watson
All providers in Westfield, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.