Healthcare Provider Details

I. General information

NPI: 1609917194
Provider Name (Legal Business Name): CHRIS BUHL MSW, LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MAINE AVE SISU WELLNESS CENTER
EASTHAMPTON MA
01027-1595
US

IV. Provider business mailing address

320 TURKEY HILL RD APT 3
NORTHAMPTON MA
01062-9630
US

V. Phone/Fax

Practice location:
  • Phone: 413-212-9515
  • Fax: 413-517-0642
Mailing address:
  • Phone: 413-212-9515
  • Fax: 413-517-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114611
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: