Provider Demographics
NPI:1073626479
Name:ARMSTRONG, DAVID MARTIN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:MARTIN
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 UNION ST
Mailing Address - Street 2:LEVEL D
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4115
Mailing Address - Country:US
Mailing Address - Phone:413-737-4718
Mailing Address - Fax:413-827-7817
Practice Address - Street 1:425 UNION ST
Practice Address - Street 2:LEVEL D
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4115
Practice Address - Country:US
Practice Address - Phone:413-737-4718
Practice Address - Fax:413-827-7817
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1013231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP03702Medicare ID - Type Unspecified