Organization Active NPI

Healing Relationships

  • Clinical Social Worker
  • Brunswick, ME
National Provider Identifier
1003081266
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING RELATIONSHIPS
Practice address
9 Everett St
Brunswick, ME 04011-2403
Phone
(207) 729-7710
Fax
(207) 729-7801
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Harrison Klockow, L.C.S.W.
Title
Co-Director
Phone
(207) 729-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9 Everett St
Brunswick, ME 04011-2403

Mailing address

9 Everett St
Brunswick, ME 04011-2403
Phone (207) 729-7710

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1003081266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EVERETT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112403",
            "telephone_number": "207-729-7710",
            "fax_number": "207-729-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EVERETT ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112403",
            "telephone_number": "207-729-7710",
            "fax_number": "207-729-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING RELATIONSHIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "KLOCKOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "207-729-7710",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.