Individual provider Active NPI

Karen Poisson, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1871959023
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
110687 Issued in MA
Practice address
8 Atwood Dr
Suite 301
Northampton, MA 01060-4266
Phone
(413) 773-1314
Fax
(413) 774-1197
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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 110687 MA Primary

Addresses

Primary practice location

8 Atwood Dr
Suite 301
Northampton, MA 01060-4266

Mailing address

8 Atwood Dr
Suite 301
Northampton, MA 01060-4266
Phone (413) 773-1314

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
I20221114002534 MA Practitioner - Clinical Social Worker 6002284593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical and Support Options, IncGroup PAC ID 6608835350, 103 clinicians

Practice addresses (Care Compare)

8 Atwood Dr
Northampton, MA 01060-4266
Phone (413) 582-0471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Support Options, Inc CurrentSince Jul 19, 2022 Accepting new patients

Locations

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

8 Atwood Dr
Ste 201
Northampton, MA 01060
Phone (413) 528-0471

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": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1871959023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ATWOOD DR",
            "address_2": "SUITE 301",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604266",
            "telephone_number": "413-773-1314",
            "fax_number": "413-774-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ATWOOD DR",
            "address_2": "SUITE 301",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604266",
            "telephone_number": "413-773-1314",
            "fax_number": "413-774-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISSON",
        "first_name": "KAREN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.