Active NPI
Brown Dog Therapy and Wellness, LLC
- Social Worker
- Wakefield, MA
National Provider Identifier
1124992656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- BROWN DOG THERAPY AND WELLNESS, LLC
- Practice address
- 1179 Main St Ste 1
Wakefield, MA 01880-9991 - Phone
- (571) 749-5958
- NPI assigned
- Sep 29, 2025
- Last updated
- Oct 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allison Gasca-Backman, LICSW
- Title
- Owner
- Phone
- (978) 835-2623
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1179 Main St Ste 1
Wakefield, MA 01880-9991
Mailing address
PO Box 3072
1179 Main St Ste 1
Wakefield, MA 01880-9991
Phone (571) 749-5958
National Provider Directory
National Provider DirectoryLocations
1179 Main St
#1
Wakefield, MA 01880
Phone (571) 749-5958
Practitioners & affiliated clinicians
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.
-
- Social Worker
- Melrose, MA
- NPI 1174976062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760659200000",
"number": "1124992656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3072",
"address_2": "1179 MAIN ST STE 1",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018809991",
"telephone_number": "571-749-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 MAIN ST STE 1",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018809991",
"telephone_number": "571-749-5958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROWN DOG THERAPY AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A",
"authorized_official_last_name": "GASCA-BACKMAN",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-835-2623",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.