Organization Active NPI

Village Healing & Wellness, LLC

  • Clinical Social Worker
  • Roslindale, MA
National Provider Identifier
1114667177
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VILLAGE HEALING & WELLNESS, LLC
Practice address
20 Belgrade Ave Ste 6
Roslindale, MA 02131-3098
Phone
(617) 286-6234
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Mrs. Patricia Ann Jean-Pierre, LICSWNPI 1619393949
Title
Owner
Phone
(617) 286-6234

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

Specialties & licenses 1

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

Addresses

Primary practice location

20 Belgrade Ave Ste 6
Roslindale, MA 02131-3098

Mailing address

20 Belgrade Ave Ste 6
Roslindale, MA 02131-3098
Phone (617) 286-6234

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL @villagehealingandwellness.com Direct

National Provider Directory

National Provider Directory

Locations

20 Belgrade Ave
Ste 6
Roslindale, MA 02131
Phone (617) 286-6234

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1114667177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BELGRADE AVE STE 6",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313098",
            "telephone_number": "617-286-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BELGRADE AVE STE 6",
            "city": "ROSLINDALE",
            "state": "MA",
            "postal_code": "021313098",
            "telephone_number": "617-286-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE HEALING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "JEAN-PIERRE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-286-6234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@villagehealingandwellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Belgrade Ave Ste 6",
            "city": "Roslindale",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021313098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roslindale, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.