Active NPI
Anabela Almeida Wallace, MSW, LCSW
- Clinical Social Worker
- West Springfield, MA
National Provider Identifier
1669756102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 211756
- Practice address
- 425 Union St
Level D
West Springfield, MA 01089-4115 - Phone
- (413) 737-4718
- Fax
- (413) 827-7817
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 211756 | MA | Primary |
Addresses
Primary practice location
425 Union St
Level D
West Springfield, MA 01089-4115
Mailing address
84 Farnsworth St
Springfield, MA 01107-1322
Phone (413) 737-4718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211756 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child &Family Service of Pioneer Valley, Inc | Clinical | Past | Accepting new patients |
| Center for Human Development, Inc | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- West Springfield, MA
- NPI 1861250953
-
- Clinical Social Worker
- Springfield, MA
- NPI 1740291996
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1669756102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 FARNSWORTH ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071322",
"telephone_number": "413-737-4718",
"fax_number": "413-827-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 UNION ST",
"address_2": "LEVEL D",
"city": "WEST SPRINGFIELD",
"state": "MA",
"postal_code": "010894115",
"telephone_number": "413-737-4718",
"fax_number": "413-827-7817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLACE",
"first_name": "ANABELA",
"middle_name": "ALMEIDA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "211756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.