Sally M Pietroniro
Individual provider Active NPI Clinical Social Worker · Southwick, MA
NPI 1982255105 · NPPES record last updated Oct 3, 2024
Key facts
- NPI
- 1982255105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 128184 (MA)
- Practice address
- 800 College Hwy
Southwick, MA 01077 - Phone
- (413) 461-4042
- Fax
- (413) 726-6001
- NPI assigned
- Sep 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14 W Summit St
South Hadley, MA 01075-2765
PO Box
Suite 2738
Springfield, MA 01101
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250305003650 | MA | Practitioner - Clinical Social Worker | 9335660471 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 128184 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amherst Psychotherapy Practice PC | Clinical | Past | Accepting new patients |
| River Valley Counseling Center, Inc | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 128184 | MA | Yes |
Addresses
Primary practice location
800 College Hwy
Southwick, MA 01077
Mailing address
800 College Hwy
Southwick, MA 01077
Phone (413) 461-4042
Other names
- Sally M Borgatti
Other providers in Southwick, MA
- Northeast ABA Services, LLC
- Nurses on Demand, LLC
- Osowski and Osowski Dental PC
- Anne Mary Osowski
- Donald Joseph Osowski
- Michelle Ann Provencher
- Nancy Marie Psholka
- Regina Rivard
- Laurie J Roule
- Elicia Roy
All providers in Southwick, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.