Healing Body and Mind Therapy

Key facts

NPI

1093553554

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Social Worker 1041C0700X

Legal business name

HEALING BODY AND MIND THERAPY

Practice address

7 Old Farm Road
East Bridgewater, MA 02333

Phone

(508) 202-0986

NPI assigned

Jul 18, 2024

Organization subpart

No

Authorized official

Name

Jackeline Goncalves, MSW, LICSW NPI 1932652484

Title

Clinician

Phone

(508) 202-0986

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackeline Goncalves, LICSW Mental Health Counselor · Brockton, MA · NPI 1932652484
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2026.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1093553554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OLD FARM RD",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023331266",
            "telephone_number": "508-202-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD FARM ROAD",
            "city": "EAST BRIDGEWATER",
            "state": "MA",
            "postal_code": "02333",
            "telephone_number": "508-202-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BODY AND MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "JACKELINE",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "508-202-0986",
        "authorized_official_credential": "MSW, LICSW"
    },
    "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 East Bridgewater, MA

• Ethan Harpel, DPT
• Thomas Gilbert Harrington, MSPT
• Kayla Hashem
• Edward F Hassan, M.D.
• Kristin Leigh Hauvuy, APRN, FNP-BC
• Amy Lynn Heath, LICSW
• David Heeps, RN
• Kacey Henderson, FNP
• Ashley Hershkovitz, PA-C
• Elizabeth M Hoitt, MS OTR/L

All providers in East Bridgewater, MA · Clinical Social Worker in Massachusetts