Individual provider Active NPI

Gleidy Liz Maria, LICSW

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1871918219
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123192 Issued in MA
Practice address
52 Maynard St FL 3
Springfield, MA 01109-3018
Phone
(413) 466-2088
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 123192 MA Primary

Addresses

Primary practice location

52 Maynard St FL 3
Springfield, MA 01109-3018

Mailing address

52 Maynard St FL 3
Springfield, MA 01109-3018
Phone (413) 466-2088

Other practice location 1

175 Dwight Rd Ste 303K
Longmeadow, MA 01106-1576
Phone (413) 626-5065

Other identifiers 1

IdentifierTypeStateIssuer
1871918219MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123192MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Interoperability endpoints

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

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": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1871918219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MAYNARD ST FL 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011093018",
            "telephone_number": "413-466-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MAYNARD ST FL 3",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011093018",
            "telephone_number": "413-466-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Dwight Rd Ste 303K",
            "address_purpose": "LOCATION",
            "city": "Longmeadow",
            "state": "MA",
            "postal_code": "011061576",
            "country_code": "US",
            "telephone_number": "413-626-5065",
            "fax_number": "413-217-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIA",
        "first_name": "GLEIDY",
        "middle_name": "LIZ",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871918219",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.