Individual provider Active NPI

Aethena Enzer-Mahler, M.S.W.

  • Clinical Social Worker
  • South Hadley, MA
National Provider Identifier
1689820797
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9 College Street
Suite 6
South Hadley, MA 01075-1421
Phone
(413) 534-7400
Fax
(413) 534-7483
NPI assigned
Aug 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 2

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

Addresses

Primary practice location

9 College Street
Suite 6
South Hadley, MA 01075-1421

Mailing address

9 College Street
Suite 6
South Hadley, MA 01075-1421
Phone (413) 534-7400

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1689820797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COLLEGE STREET",
            "address_2": "SUITE 6",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751421",
            "telephone_number": "413-534-7400",
            "fax_number": "413-534-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COLLEGE STREET",
            "address_2": "SUITE 6",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751421",
            "telephone_number": "413-534-7400",
            "fax_number": "413-534-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZER-MAHLER",
        "first_name": "AETHENA",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-09",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hadley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.