Healthcare Provider Details

I. General information

NPI: 1447588892
Provider Name (Legal Business Name): JENNIFER BELL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 MAIN ST STE 101
SPRINGFIELD MA
01107-1078
US

IV. Provider business mailing address

3550 MAIN ST STE 101
SPRINGFIELD MA
01107-1078
US

V. Phone/Fax

Practice location:
  • Phone: 413-858-7400
  • Fax:
Mailing address:
  • Phone: 413-858-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0300010
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerMBHP
# 2
Identifier1300881
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: