Shopping areas are located mainly along Route 20 and include the city's central business district which is primarily along Elm Street, and includes a variety of specialty shops; Westgate Plaza, Westfield Shops and Little River Plaza.

Numerous social service agencies are located in the city. Their programs deal with a wide range of needs within the community. There are two hospitals in Westfield: Western Massachusetts Hospital provides special services and Noble Hospital provides general services including emergency room facilities.