Provider Demographics
NPI:1063436467
Name:JEWISH FAMILY SERVICE OF WESTERN MASSACHUSETTS INC
Entity type:Organization
Organization Name:JEWISH FAMILY SERVICE OF WESTERN MASSACHUSETTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:REINIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:413-455-1936
Mailing Address - Street 1:15 LENOX ST.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01108-2666
Mailing Address - Country:US
Mailing Address - Phone:413-737-2601
Mailing Address - Fax:413-737-0323
Practice Address - Street 1:15 LENOX ST.
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-2666
Practice Address - Country:US
Practice Address - Phone:413-737-2601
Practice Address - Fax:413-737-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
22398OtherBMC HEALTHNET PLAN
MA1028880OtherNEIGHBORHOOD HEALTH PLAN
MA9744169Medicaid
MA1028880OtherNEIGHBORHOOD HEALTH PLAN