Core Resilience Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CORE RESILIENCE COUNSELING, PLLC

Practice address

50 Harvest LN
Tewksbury, MA 01876-4557

Phone

(617) 855-8213

Fax

(207) 819-3491

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Ferrelli, LICSWNPI 1447739248

Title

Manager

Phone

(617) 855-8213

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Ferrelli, LICSW

  • School Social Worker
  • Lowell, MA
  • NPI 1447739248
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1104651314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HARVEST LN",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764557",
            "telephone_number": "617-855-8213",
            "fax_number": "207-819-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HARVEST LN",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018764557",
            "telephone_number": "617-855-8213",
            "fax_number": "207-819-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE RESILIENCE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "FERRELLI",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-855-8213",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Massachusetts (Department of Mental Health - Northeast Area Office)
• Commonwealth of Massachusetts Office for Pharmacy Services
• Connected Life Chiropractic
• Jennifer Ann Connolly, RN
• Ronald L Cooper, D.M.D.
• Cristabel Corniel
• Kathleen Courtney
• Tara M. Coyne, NP
• Andrea Crane, DPT, PT
• Patricia Ann Beech Criste, PH.D.

• Clinical Social Worker in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.