Active NPI
Robin Therrien, L.I.C.S.W
- Clinical Social Worker
- Holyoke, MA
National Provider Identifier
1841486941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114196
- Practice address
- 17 Meadow St
Holyoke, MA 01040-5448 - Phone
- (413) 532-0050
- NPI assigned
- Sep 21, 2007
- Last updated
- Aug 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 114196 | MA | Primary |
Addresses
Primary practice location
17 Meadow St
Holyoke, MA 01040-5448
Mailing address
17 Meadow St
Holyoke, MA 01040-5413
Phone (413) 532-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110081490A | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114196 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Happens, Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Chicopee, MA
- NPI 1831359603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1841486941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MEADOW ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405413",
"telephone_number": "413-532-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MEADOW ST",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010405448",
"telephone_number": "413-532-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERRIEN",
"first_name": "ROBIN",
"name_prefix": "Ms.",
"credential": "L.I.C.S.W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110081490A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holyoke, MA
- The Holyoke Young Men's Christian Association
- The Mercy Hospital Inc (Providence Behavioral Health Hospital)
- The Pomegranate Institute, PLLC
- The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #30)
- The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy 9)
- Bailey Claire Thomas
- Cynthia Denise Thomas, DMD
- Preetha Thomas, D.M.D.
- Tyriq Thomas
- Debra Lynn Thompson, SPEECH ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.