Individual provider Active NPI

Joan Granucci Lesser, LICSW, PHD

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1811068968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107395 Issued in MA
Practice address
1236 Main St
Suite 201
Holyoke, MA 01040-5370
Phone
(413) 533-4546
Fax
(413) 536-7254
NPI assigned
Nov 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 107395 MA Primary

Addresses

Primary practice location

1236 Main St
Suite 201
Holyoke, MA 01040-5370

Mailing address

51 Greenwich Rd
Longmeadow, MA 01106-1224
Phone (413) 567-5952

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
107395MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Mass Physician Associates Inc Past Accepting new patients
Western Mass Physician Associates Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811068968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 GREENWICH RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061224",
            "telephone_number": "413-567-5952",
            "fax_number": "413-536-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "address_2": "SUITE 201",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405370",
            "telephone_number": "413-533-4546",
            "fax_number": "413-536-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSER",
        "first_name": "JOAN",
        "middle_name": "GRANUCCI",
        "name_prefix": "Dr.",
        "credential": "LICSW, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, 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.

Verify at the official NPI Registry.