Active NPI
Lara Sarah Ismail, L.I.C.S.W.
- Clinical Social Worker
- Northampton, MA
National Provider Identifier
1699833186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111491
- Practice address
- 78 Pomeroy Ter
Cutchins Programs, NCCF
Northampton, MA 01060-3378 - Phone
- (413) 584-1310
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 111491 | MA | Primary |
Addresses
Primary practice location
78 Pomeroy Ter
Cutchins Programs, NCCF
Northampton, MA 01060-3378
Mailing address
72 East St
Northfield, MA 01360-9644
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111491 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutchins Program for Children and Families, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- Northampton, MA
- NPI 1831526771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699833186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 EAST ST",
"city": "NORTHFIELD",
"state": "MA",
"postal_code": "013609644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 POMEROY TER",
"address_2": "CUTCHINS PROGRAMS, NCCF",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603378",
"telephone_number": "413-584-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISMAIL",
"first_name": "LARA",
"middle_name": "SARAH",
"name_prefix": "Ms.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.