NPIMap

Organization Active NPI

Grafton Wellness Counseling, LLC

  • Clinical Social Worker
  • North Grafton, MA
National Provider Identifier
1184096067
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRAFTON WELLNESS COUNSELING, LLC
Practice address
210 Worcester St
Suite B
North Grafton, MA 01536-1289
Phone
(774) 293-4474
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Tisia Ciesluk, LICSW
Title
Psychotherapist/Owner
Phone
(774) 293-4474

Specialties & licenses 1

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

Addresses

Primary practice location

210 Worcester St
Suite B
North Grafton, MA 01536-1289

Mailing address

210 Worcester St
Suite B
North Grafton, MA 01536-1289
Phone (774) 293-4474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1184096067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WORCESTER ST",
            "address_2": "SUITE B",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361289",
            "telephone_number": "774-293-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WORCESTER ST",
            "address_2": "SUITE B",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015361289",
            "telephone_number": "774-293-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFTON WELLNESS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "CIESLUK",
        "authorized_official_first_name": "TISIA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "774-293-4474",
        "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": [],
    "other_names": []
}

Other providers in North Grafton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.