Active NPI
Yuanrui Li
- Clinical Social Worker
- South Hadley, MA
National Provider Identifier
1831786573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000121805
- Practice address
- 147 Pattie Groves BLDG, 50 College Streete College
South Hadley, MA 01075 - Phone
- (413) 538-2037
- NPI assigned
- Dec 29, 2020
- 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 | 000121805 | MA | Primary |
Addresses
Primary practice location
147 Pattie Groves BLDG, 50 College Streete College
South Hadley, MA 01075
Mailing address
147 Pattie Groves BLDG, 50 College Street
South Hadley, MA 01075
Phone (413) 538-2037
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000121805 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1831786573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 PATTIE GROVES BLDG, 50 COLLEGE STREET",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "01075",
"telephone_number": "413-538-2037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 PATTIE GROVES BLDG, 50 COLLEGE STREETE COLLEGE",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "01075",
"telephone_number": "413-538-2037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LI",
"first_name": "YUANRUI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "000121805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.