Take Care Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02428 Issued in RI

Legal business name

TAKE CARE COUNSELING

Practice address

193 Canal St
Westerly, RI 02891-1556

Phone

(401) 500-5458

NPI assigned

Sep 26, 2017

Last updated

Sep 26, 2017By 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

Brenda Medina, LICSWNPI 1407267503

Title

Owner

Phone

(401) 500-5458

Specialties & licenses 1

Addresses

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.

• Brenda Medina, LICSW

  • Clinical Social Worker
  • Westerly, RI
  • NPI 1407267503
  NPD Authorized official

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1114436847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 CANAL ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 CANAL ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911556",
            "telephone_number": "401-500-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-500-5458",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Westerly, RI
• Providers in Westerly, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.