Individual provider Active NPI

Laresa Wood

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1851819684
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW126761 Issued in MA
Practice address
123 Union St Ste 204
Easthampton, MA 01027-4100
Phone
(781) 430-8834
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 LICSW126761 MA Primary

Addresses

Primary practice location

123 Union St Ste 204
Easthampton, MA 01027-4100

Mailing address

123 Union St Ste 204
Easthampton, MA 01027-4100

Other practice location 1

50 Pleasant St
Northampton, MA 01060-4127
Phone (413) 584-6855

Other practice location 2

15 Ladd Ave
Florence, MA 01062-2627
Phone (781) 430-8834

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
I20231103000443 MA Practitioner - Clinical Social Worker 1759738362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Servicenet IncGroup PAC ID 6901797950, 53 clinicians

Practice addresses (Care Compare)

55 Federal St
Greenfield, MA 01301-2546
Phone (413) 772-2935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW126761MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Servicenet Inc CurrentSince Aug 23, 2023 Accepting new patients

Locations

55 Federal St
Greenfield, MA 01301
Phone (413) 772-2935

21 Olander Dr
Northampton, MA 01060
Phone (413) 442-4003

50 Pleasant St
Northampton, MA 01060
Phone (413) 585-1300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1851819684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 UNION ST STE 204",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010274100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 UNION ST STE 204",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010274100",
            "telephone_number": "781-430-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010604127",
            "country_code": "US",
            "telephone_number": "413-584-6855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Ladd Ave",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MA",
            "postal_code": "010622627",
            "country_code": "US",
            "telephone_number": "781-430-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LARESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW126761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.