Healthcare Provider Details

I. General information

NPI: 1639033806
Provider Name (Legal Business Name): DADE SCOLARDI LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 COLLEGE ST
SOUTH HADLEY MA
01075-1461
US

IV. Provider business mailing address

75 HITCHCOCK ST
HOLYOKE MA
01040-2932
US

V. Phone/Fax

Practice location:
  • Phone: 413-538-2037
  • Fax:
Mailing address:
  • Phone: 732-910-9938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number228861
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: