Individual provider Active NPI

Ann Cleaveland, M.S.W.

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1932247475
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103474 Issued in MA
Practice address
100 King St
Suite 203
Northampton, MA 01060-3243
Phone
(413) 586-6847
Fax
(413) 584-8416
NPI assigned
Feb 4, 2007
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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 103474 MA Primary

Addresses

Primary practice location

100 King St
Suite 203
Northampton, MA 01060-3243

Mailing address

100 King St
Suite 203
Northampton, MA 01060-3243
Phone (413) 586-6847

Other names 1

  • Ms. Ann Cleaveland Gaubinger Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1932247475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KING ST",
            "address_2": "SUITE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603243",
            "telephone_number": "413-586-6847",
            "fax_number": "413-584-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KING ST",
            "address_2": "SUITE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603243",
            "telephone_number": "413-586-6847",
            "fax_number": "413-584-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEAVELAND",
        "first_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "103474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GAUBINGER",
            "middle_name": "CLEAVELAND",
            "prefix": "MS.",
            "credential": "M.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.