Jamie L Brelsford, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119856 Issued in MA

Practice address

470 Granby Road
South Hadley, MA 01075-3218

Phone

(413) 794-8700

Fax

(413) 794-8732

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1912480617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT STREET",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 GRANBY ROAD",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010753218",
            "telephone_number": "413-794-8700",
            "fax_number": "413-794-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRELSFORD",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krongkan Bovornkeeratiroj
• Patrick Joseph Boyce, M.D.
• Susan E Boyle-Glidden, LICSW
• Ashley Brandenburg
• Emily Breines
• Cherie Renee Brisebois-Tetrault, RE LE CLT LLT
• David S. Brown, PSYD
• Jennifer Brown
• Susan Crapenter Bruffee, M ED
• Katelynn Brzezinski

• Clinical Social Worker in South Hadley, MA
• Providers in South Hadley, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.