Diane Alice Bazin Judd, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111131 Issued in MA

Practice address

160 Brainerd St
South Hadley, MA 01075-1306

Phone

(413) 534-7772

NPI assigned

Feb 22, 2007

Last updated

Aug 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Massachusetts Society for the Prevention of Cruelty to Children

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1285712596
  NPD (past)
• Mspcc Mass Society of Prevention of Crualty to Children

  • Community/Behavioral Health Agency
  • Holyoke, MA
  • NPI 1376928937
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1952436024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BRAINERD ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751926",
            "telephone_number": "413-534-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BRAINERD ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751306",
            "telephone_number": "413-534-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZIN JUDD",
        "first_name": "DIANE",
        "middle_name": "ALICE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111131",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Rosemarie Barker, FNP-C
• Jessica Barnes
• Maggie Shelagh Barros
• Susan J. Batlan, M.D.
• Kentston Bauman, PA-C
• Lisa J Beauchemin
• Valaree Bedell
• Ilana Beigel
• Kayla Beman
• Christine Joanne Bemish, RN, LIC. ACU.

• 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 Aug 14, 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.