Individual provider Active NPI

Julia Ann Thouin, MSW

  • Clinical Social Worker
  • West Springfield, MA
National Provider Identifier
1861979114
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000123526 Issued in MA
Practice address
1129 Riverdale St #1009
West Springfield, MA 01089-4615
Phone
(413) 264-2620
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 223142 MA
Clinical Social Worker 1041C0700X 000123526 MA Primary

Addresses

Primary practice location

1129 Riverdale St #1009
West Springfield, MA 01089-4615

Mailing address

PO Box 791
Holyoke, MA 01041-0791

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
I20210426001691 MA Practitioner - Clinical Social Worker 9830507177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1129 Riverdale St
Suite 1009
West Springfield, MA 01089-4615
Phone (413) 264-2620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223142MAMDSocial Worker
000123526MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc CurrentSince Mar 12, 2024 Accepting new patients
Be. Behavioral Health Care Clinical CurrentSince Jul 7, 2023 Accepting new patients

Locations

319 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

1129 Riverdale St
West Springfield, MA 01089
Phone (413) 264-2620

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 2

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1861979114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010410791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 RIVERDALE ST #1009",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894615",
            "telephone_number": "413-264-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOUIN",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "223142",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000123526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.