Individual provider Active NPI

Judith Hyde Meissner, LICSW

  • Clinical Social Worker
  • Greenfield, MA
National Provider Identifier
1932156643
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1029608 Issued in MA
Practice address
20 Federal St
Ste 2
Greenfield, MA 01301-3324
Phone
(413) 775-4715
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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 1029608 MA Primary

Addresses

Primary practice location

20 Federal St
Ste 2
Greenfield, MA 01301-3324

Mailing address

15 Warwick Rd
Northfield, MA 01360-1105
Phone (413) 498-4343

Other identifiers 2

IdentifierTypeStateIssuer
PO8225OtherMABLUE CROSS/ BLUE SHIELD
1858998MedicaidMA

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
1029608MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541808000000",
    "number": "1932156643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARWICK RD",
            "city": "NORTHFIELD",
            "state": "MA",
            "postal_code": "013601105",
            "telephone_number": "413-498-4343",
            "fax_number": "413-585-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FEDERAL ST",
            "address_2": "STE 2",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013013324",
            "telephone_number": "413-775-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "JUDITH",
        "middle_name": "HYDE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1029608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "PO8225",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1858998",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.