NPIMap

Organization Active NPI

The Wholeness Center, LLC

  • Clinical Social Worker
  • Brockton, MA
National Provider Identifier
1265834766
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE WHOLENESS CENTER, LLC
Practice address
370 Oak St Ste C
Brockton, MA 02301-1303
Phone
(508) 580-3800
Fax
(508) 580-3805
NPI assigned
Sep 16, 2014
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Sandra Garcon, LICSWNPI 1114166840
Title
Owner
Phone
(508) 580-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X S50130595 MA

Addresses

Primary practice location

370 Oak St Ste C
Brockton, MA 02301-1303

Mailing address

1367 Main St
Brockton, MA 02301-7111
Phone (508) 580-3800

National Provider Directory

National Provider Directory

Locations

1367 Main St
Brockton, MA 02301
Phone (508) 580-3800

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1265834766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 MAIN ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023017111",
            "telephone_number": "508-580-3800",
            "fax_number": "508-580-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 OAK ST STE C",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011303",
            "telephone_number": "508-580-3800",
            "fax_number": "508-580-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WHOLENESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "GARCON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-580-3800",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "S50130595",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.