Active NPIIndividual provider

Mr. Jay Conklin, MSW

Social Worker, Clinical in Springfield, Massachusetts

NPI Number1417095662
Practice location
33 School St, Springfield, MA 01105-1301
Fax
413-732-0429
Last updated
July 8, 2007

Jay Conklin is a Social Worker, Clinical based in Springfield, MA. Jay Conklin practices in Springfield, MA and has the professional credentials of MSW. The NPI Number for Jay Conklin is 1417095662 and holds a License No. 105899 (MA). The current practice location address for Jay Conklin is 33 School St, Springfield, MA 01105-1301 and can be reached out via phone at 413-846-4300 and via fax at 413-732-0429.

Provider Profile Details

NPI Number
1417095662
Provider Name
Jay Conklin
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
33 School St, Springfield, MA 01105-1301
Phone Number
413-846-4300
Fax Number
413-732-0429
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
February 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 School St
Springfield, MA 01105-1301
Zip
01105-1301
Phone Number
413-846-4300
Fax Number
413-732-0429
Springfield, MA 01105Get directions →

Provider Business Mailing Address Details

Address
198 Steady Ln
Ashfield, MA 01330-9602
City
Ashfield
State
MA
Zip
01330-9602
Phone Number
413-527-0811
Fax Number
413-732-0429

License Information

License Number
105899
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jay Conklin, MSW?

The NPI number of Mr. Jay Conklin, MSW is 1417095662. It was assigned on February 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Jay Conklin, MSW?

Mr. Jay Conklin, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 105899.

Where does Mr. Jay Conklin, MSW practice?

The practice location is 33 School St, Springfield, MA 01105-1301. The office can be reached at 413-846-4300 (phone) or 413-732-0429 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417095662 directly on the NPPES registry website.

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