Individual provider Active NPI

Joyce M. Tirrell, MSW, LICSW

  • Clinical Social Worker
  • Pittsfield, MA
National Provider Identifier
1932339397
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114315 Issued in MA
Practice address
175 Wendell Ave
Second Floor
Pittsfield, MA 01201-6927
Phone
(413) 822-9752
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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 114315 MA Primary

Addresses

Primary practice location

175 Wendell Ave
Second Floor
Pittsfield, MA 01201-6927

Mailing address

175 Wendell Ave
Second Floor
Pittsfield, MA 01201-6927
Phone (413) 822-9752

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114315MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1932339397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WENDELL AVE",
            "address_2": "SECOND FLOOR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016927",
            "telephone_number": "413-822-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WENDELL AVE",
            "address_2": "SECOND FLOOR",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016927",
            "telephone_number": "413-822-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRRELL",
        "first_name": "JOYCE",
        "middle_name": "M.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.