Active NPI
Jessica Kuttner, LICSW
- Clinical Social Worker
- South Hadley, MA
National Provider Identifier
1912138009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115154
- Practice address
- 9 College St
Suite 6
South Hadley, MA 01075-1421 - Phone
- (413) 534-7400
- Fax
- (413) 534-7483
- NPI assigned
- Aug 6, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 115154 | MA | Primary |
Addresses
Primary practice location
9 College St
Suite 6
South Hadley, MA 01075-1421
Mailing address
46 Buckland Road
Ste D
Ashfield, MA 01330
Phone (413) 628-3890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2025 through Feb 14, 2027
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": "1249516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1912138009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 BUCKLAND ROAD",
"address_2": "STE D",
"city": "ASHFIELD",
"state": "MA",
"postal_code": "01330",
"telephone_number": "413-628-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 COLLEGE ST",
"address_2": "SUITE 6",
"city": "SOUTH HADLEY",
"state": "MA",
"postal_code": "010751421",
"telephone_number": "413-534-7400",
"fax_number": "413-534-7483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTTNER",
"first_name": "JESSICA",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-06",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.