Provider Demographics
NPI:1942213335
Name:SCHWARTZ, ALAN (LICSW)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 COLLEGE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:SOUTHWICK
Mailing Address - State:MA
Mailing Address - Zip Code:01077-9706
Mailing Address - Country:US
Mailing Address - Phone:413-569-6975
Mailing Address - Fax:413-569-6975
Practice Address - Street 1:125 MAIN ST STE 3
Practice Address - Street 2:SUITE 202
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-2416
Practice Address - Country:US
Practice Address - Phone:413-781-5538
Practice Address - Fax:413-569-6975
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10293571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1857681OtherMASSHEALTH CROSSOVER
MA1898248Medicaid
MA000000020079OtherBOSTON MEDICAL HEALTHNET
MA0131132000OtherAETNA
MA131132000OtherMAGELLAN
MAP07526OtherBLUECROSS MA
MA125356OtherVALUEOPTIONS
MA1857681OtherMASSHEALTH CROSSOVER