Healthcare Provider Details

I. General information

NPI: 1902123029
Provider Name (Legal Business Name): HEATHER MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2010
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

785 WILLIAMS ST
LONGMEADOW MA
01106-2063
US

IV. Provider business mailing address

785 WILLIAMS ST
LONGMEADOW MA
01106-2063
US

V. Phone/Fax

Practice location:
  • Phone: 413-237-5296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number117727
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number011191
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: