Individual provider Active NPI

Sue Budz, LICSW

  • Clinical Social Worker
  • North Adams, MA
National Provider Identifier
1821168097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1026060 Issued in MA
Practice address
25 Marshall St
Brien Center
North Adams, MA 01247-2451
Phone
(413) 664-4541
Fax
(413) 662-3311
NPI assigned
Nov 8, 2006
Sex
Female
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 1026060 MA Primary

Addresses

Primary practice location

25 Marshall St
Brien Center
North Adams, MA 01247-2451

Mailing address

1077 N Hoosac Rd
Williamstown, MA 01267-2312
Phone (413) 458-7974

Other identifiers 1

IdentifierTypeStateIssuer
31753OtherMAHEALTH NEW ENGLAND

Other names 1

  • Sue Jones Former name

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

LicenseStateTypeSpecialty
1026060MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821168097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 N HOOSAC RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672312",
            "telephone_number": "413-458-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSHALL ST",
            "address_2": "BRIEN CENTER",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472451",
            "telephone_number": "413-664-4541",
            "fax_number": "413-662-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDZ",
        "first_name": "SUE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1026060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "31753",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "JONES",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Adams, 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.