Individual provider Active NPI

Carol B. Soules, LICSW, MSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1679602692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW-105804 Issued in MA
Practice address
10 Gatehouse Rd
Amherst, MA 01002-2856
Phone
(413) 259-9333
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW-105804 MA Primary

Addresses

Primary practice location

10 Gatehouse Rd
Amherst, MA 01002-2856

Mailing address

38 Lessey St
Amherst, MA 01002-2118
Phone (413) 237-5506

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
I20050812000662 MA Practitioner - Clinical Social Worker 5395775027 Practice locations: Holyoke, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW-105804MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Human Solutions LLC Clinical PastSince Aug 29, 2008 Accepting new patients

Organizations & group practices 1

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679602692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 LESSEY ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022118",
            "telephone_number": "413-237-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GATEHOUSE RD",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022856",
            "telephone_number": "413-259-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULES",
        "first_name": "CAROL",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "LICSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "SW-105804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.