Richard Robert Kaufman, LICSW
Individual provider Active NPI Clinical Social Worker · Spencer, MA
NPI 1689615833 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689615833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 104721 (MA)
- Practice address
- 185 Main St
Suite 11
Spencer, MA 01562-1755 - Phone
- (508) 885-5238
- Fax
- (508) 885-1118
- NPI assigned
- Jun 9, 2006
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104721 | MA | Yes |
Addresses
Primary practice location
185 Main St
Suite 11
Spencer, MA 01562-1755
Mailing address
286 Cedar St
Fiskdale, MA 01518-1014
Phone (508) 347-0033
Other providers in Spencer, MA
- Jessica Liberman
- Jgna Inc
- Jyl Transportation, Inc.
- Joseph Wanja Kahoro
- Anne Karlon
- Dina Kawmi
- Cheryl Keith-Podbelski
- Corinne Ann Kennedy
- Shadia S Kousi
- Jodie Anne Krueger
All providers in Spencer, 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 Jul 8, 2007. 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.