Danielle St Jacques

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

246 Park St
West Springfield, MA 01089-3314

Phone

(413) 737-4718

Fax

(413) 827-7817

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

Yes

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinical & Support Options, Inc

  • Community/Behavioral Health Agency
  • Greenfield, MA
  • NPI 1831265115
  Medicare reassignment NPD
• Driven Directions Counseling Services, LLC

  • Mental Health Counselor
  • Leeds, MA
  • NPI 1336742055
  NPD Authorized official

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1942540927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893314",
            "telephone_number": "413-737-4718",
            "fax_number": "413-827-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893314",
            "telephone_number": "413-737-4718",
            "fax_number": "413-827-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JACQUES",
        "first_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Alan Spencer
• Frederick Walker Sperry, M.S.W., L.I.C.S.W.
• Victoria E Springer
• SRC West Springfield, Inc.
• Lydia Srnka
• Robert Joseph St Marie, RPH
• Donna M. St. Pierre, CRNA
• St.Joseph'S Family Dental,LLC
• Timothy Wayne Stanton, LICSW
• Stateline DSD, LLC

• Clinical Social Worker in West Springfield, MA
• Providers in West Springfield, 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 Feb 27, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.