Individual provider Active NPI

Bonnie L Atkins, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1871663302
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1030842 Issued in MA
Practice address
278 Main St Ste 307a
Greenfield, MA 01301-3230
Phone
(413) 376-4343
Fax
(413) 774-4313
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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 1030842 MA Primary

Addresses

Primary practice location

278 Main St Ste 307a
Greenfield, MA 01301-3230

Mailing address

PO Box 1184
Easthampton, MA 01027-5184
Phone (413) 376-4343

Other identifiers 1

IdentifierTypeStateIssuer
P08051OtherMABLUE SHIELD

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
I20040816001219 MA Practitioner - Clinical Social Worker 9830162007 Practice locations: Easthampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 Union St
Suite 204
Easthampton, MA 01027-4100
Phone (413) 222-6152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1871663302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1184",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010275184",
            "telephone_number": "413-376-4343",
            "fax_number": "413-774-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MAIN ST STE 307A",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013230",
            "telephone_number": "413-376-4343",
            "fax_number": "413-774-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "BONNIE",
        "middle_name": "L",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P08051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.