Individual provider Active NPI

Christy Erin O'Brien, LICSW

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1992014351
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117458 Issued in MA
Practice address
48 N Pleasant St Ste 207
Amherst, MA 01002-1741
Phone
(413) 566-1155
Fax
(413) 566-1156
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 117458 MA Primary

Addresses

Primary practice location

48 N Pleasant St Ste 207
Amherst, MA 01002-1741

Mailing address

48 N Pleasant St Ste 207
Amherst, MA 01002-1741
Phone (413) 566-1155

Other practice location 1

319 Beech St
Holyoke, MA 01040-3968
Phone (413) 540-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117458MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amherst Psychotherapy Practice PC Clinical CurrentSince Feb 25, 2022 Accepting new patients
Clinical & Support Options, Inc CurrentSince May 25, 2016 Accepting new patients

Locations

48 N Pleasant St
Ste 207
Amherst, MA 01002
Phone (413) 200-8024

1 Arch Pl
Greenfield, MA 01301
Phone (413) 773-1000

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1992014351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-566-1155",
            "fax_number": "413-566-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N PLEASANT ST STE 207",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021741",
            "telephone_number": "413-566-1155",
            "fax_number": "413-566-1156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Beech St",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010403968",
            "country_code": "US",
            "telephone_number": "413-540-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "CHRISTY",
        "middle_name": "ERIN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.