Individual provider Active NPI

Mary Loomis, LICSW

  • Clinical Social Worker
  • Easthampton, MA
National Provider Identifier
1962849430
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
65 Union St
Easthampton, MA 01027-1447
Phone
(413) 237-6700
NPI assigned
May 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 Primary

Addresses

Primary practice location

65 Union St
Easthampton, MA 01027-1447

Mailing address

65 Union St
Easthampton, MA 01027-1447

Other names 1

  • Mary Kirschmann Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180131000395 MA Practitioner - Clinical Social Worker 9739449380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Human Development, Inc.Group PAC ID 7618950874, 70 clinicians

Practice addresses (Care Compare)

367 Pine St
Springfield, MA 01105-1930
Phone (413) 737-1426

65 Union St
Easthampton, MA 01027-1447
Phone (413) 529-1764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Human Development, Inc CurrentSince Dec 11, 2017 Accepting new patients
Center for Human Development, Inc. Clinical CurrentSince Dec 11, 2017 Accepting new patients

Locations

65 Union St
Easthampton, MA 01027
Phone (413) 237-6700

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1962849430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 UNION ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 UNION ST",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271447",
            "telephone_number": "413-237-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "MARY",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "KIRSCHMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easthampton, MA

Sources for this page

Verify at the official NPI Registry.