Basic Information
| Provider Information | |||||||||
| NPI: | 1982902102 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRIGGS | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 147 NORMAN ST | ||||||||
| Address2: | |||||||||
| City: | WEST SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010895003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8607368329 | ||||||||
| FaxNumber: | 4137325362 | ||||||||
| Practice Location | |||||||||
| Address1: | 149 HIGH ST | ||||||||
| Address2: | |||||||||
| City: | GREENFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 013012614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4137732304 | ||||||||
| FaxNumber: | 4137730118 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/11/2011 | ||||||||
| LastUpdateDate: | 03/11/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
ID Information
| ID | Type | State | Issuer | Description | 1307576 (SA) | 05 | MA | MEDICAID | 1303295 (MH) | 05 | MA | MEDICAID | M18463 | 01 | MA | BC / BS | OTHER |