Jane Dorothy Seidlitz

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110028 Issued in MA

Practice address

94 King St
Northampton, MA 01060-3284

Phone

(413) 582-1480

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 20, 2018 through Apr 20, 2028

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760528400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EAST ST",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739556",
            "telephone_number": "413-582-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 KING ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603284",
            "telephone_number": "413-582-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDLITZ",
        "first_name": "JANE",
        "middle_name": "DOROTHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P07756",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Domenick P Sciaruto, MD
• Sarah J. Scott, LICSW
• Laura L Scoville, M.D.
• Cara A. Segal, LICSW
• Erin J Seibert, LCSW
• Margaret Lee Seiler, M.S.W.
• Amy Sellers-Bey, LMHC
• Joan Ringrose Sellers, CCC-SLP
• Ellen Senghas, M.D.
• Shannon Sennott

• Clinical Social Worker in Northampton, MA
• Providers in Northampton, MA by specialty
• Clinical Social Worker in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.