Individual provider Active NPI

Thomas A. Lachiusa, PH.D LICSW

  • Clinical Social Worker
  • Longmeadow, MA
National Provider Identifier
1851372247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1020750 Issued in MA
Practice address
1200 Converse St
Converse Professional Building
Longmeadow, MA 01106-1760
Phone
(413) 567-4200
Fax
(413) 567-8935
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

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 1020750 MA Primary

Addresses

Primary practice location

1200 Converse St
Converse Professional Building
Longmeadow, MA 01106-1760

Mailing address

1200 Converse St
Converse Professional Building
Longmeadow, MA 01106-1760
Phone (413) 567-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000372 MA Practitioner - Clinical Social Worker 6002718947 Practice locations: Longmeadow, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Converse St
Longmeadow, MA 01106-1675

1200 Converse St Converse
Suite L3
Longmeadow, MA 01106-2192
Phone (413) 567-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851372247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONVERSE ST",
            "address_2": "CONVERSE PROFESSIONAL BUILDING",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061760",
            "telephone_number": "413-567-4200",
            "fax_number": "413-567-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CONVERSE ST",
            "address_2": "CONVERSE PROFESSIONAL BUILDING",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061760",
            "telephone_number": "413-567-4200",
            "fax_number": "413-567-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHIUSA",
        "first_name": "THOMAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1020750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.