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THERESA JAMES LICSW
NPI 1598517310
Social Worker - Clinical in West Springfield, MA

Active since April 04, 2024PECOS Enrolled
1111 ELM ST STE 10, WEST SPRINGFIELD, MA 01089(413) 798-8957 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2025, Apr 4, 2024 (2 updates tracked since 2024).

About Theresa James Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA JAMES LICSW (NPI 1598517310) is an individual clinical provider in West Springfield, Massachusetts, licensed in Massachusetts (127566) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598517310
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTHERESA JAMESCredential: LICSW
Location Address1111 ELM ST STE 10West Springfield, MA 01089-1540
Mailing Address785 Williams St Spc 354Longmeadow, MA 01106-2063 · (413) 273-2110
Phone(413) 798-8957
Sole ProprietorYes
Enumeration DateApril 4, 2024
Last NPPES UpdateNovember 30, 20252 updates tracked since enumeration
NPPES CertifiedNovember 30, 2025
✔ NPI 1598517310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 127566
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1111 ELM ST STE 10, West Springfield, MA 01089
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa James Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE HEALING WELL, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1111 ELM ST STE 10
WEST SPRINGFIELD, MA 01089
Hampden County (413) 798-8957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa James's NPI number?

The NPI number for Theresa James is 1598517310. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Theresa James located?

Theresa James practices at 1111 Elm St Ste 10, West Springfield, MA 01089. The listed phone number is (413) 798-8957.

What is Theresa James's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Theresa James enrolled in Medicare?

Yes. Theresa James is registered in the Medicare PECOS enrollment system.

What insurance does Theresa James accept?

Health plans from Harvard Pilgrim Health Care list Theresa James as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theresa James was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.