Active NPI
Paul S. Foster-Moore, LICSW
- Social Worker
- Chicopee, MA
National Provider Identifier
1881601474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103066
- Practice address
- 444 Montgomery St
Chicopee, MA 01020-1969 - Phone
- (413) 598-7777
- Fax
- (413) 789-8048
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103066 | MA | Primary |
Addresses
Primary practice location
444 Montgomery St
Chicopee, MA 01020-1969
Mailing address
444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 598-7777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 27, 2023 through Nov 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverbend Medical Group, Inc | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881601474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-598-7777",
"fax_number": "413-789-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MONTGOMERY ST",
"city": "CHICOPEE",
"state": "MA",
"postal_code": "010201969",
"telephone_number": "413-598-7777",
"fax_number": "413-789-8048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER-MOORE",
"first_name": "PAUL",
"middle_name": "S.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "103066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicopee, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.