Individual provider Active NPI

Elizabeth A. Bienz, LICSW, MSSA

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1720289499
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114220 Issued in MA
Practice address
15 Gothic St
Northampton, MA 01060-3059
Phone
(413) 584-5810
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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 114220 MA Primary

Addresses

Primary practice location

15 Gothic St
Northampton, MA 01060-3059

Mailing address

60 Wells St
Greenfield, MA 01301-2354
Phone (413) 588-4327

Other practice location 1

239 Main St
Greenfield, MA 01301-3269
Phone (413) 772-6100 ext. 210

Other practice location 2

60 Wells St
Greenfield, MA 01301-2354
Phone (413) 588-4327

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1720289499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WELLS ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012354",
            "telephone_number": "413-588-4327",
            "fax_number": "413-775-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GOTHIC ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603059",
            "telephone_number": "413-584-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Main St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013013269",
            "country_code": "US",
            "telephone_number": "413-772-6100 x210",
            "fax_number": "413-775-9468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Wells St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013012354",
            "country_code": "US",
            "telephone_number": "413-588-4327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIENZ",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LICSW, MSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114220",
            "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 Feb 3, 2020; 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.