Healthcare Provider Details

I. General information

NPI: 1770703605
Provider Name (Legal Business Name): DANIEL LOUIS PLOTKIN MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 KING ST SUITE 242
NORTHAMPTON MA
01060-2451
US

IV. Provider business mailing address

96 WOODS RD
NORTHAMPTON MA
01062-3500
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-0265
  • Fax: 413-584-2031
Mailing address:
  • Phone: 413-586-2886
  • Fax: 413-587-0177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1019476
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: