Fortitude Counseling & Recovery Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

114423 Issued in MA

Legal business name

FORTITUDE COUNSELING & RECOVERY CENTER, LLC

Practice address

69 Holmes St
Quincy, MA 02171-2419

Phone

(617) 481-8991

Fax

(617) 481-6581

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Nicole H Kasimatis

Title

Ceo/Director of Outpatient Services

Phone

(617) 481-8991

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kerrin Messina, LCSW

  • Clinical Social Worker
  • Quincy, MA
  • NPI 1114595451
  NPD

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1265971626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690602",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "02269",
            "telephone_number": "617-481-8991",
            "fax_number": "617-481-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 HOLMES ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712419",
            "telephone_number": "617-481-8991",
            "fax_number": "617-481-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING & RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "KASIMATIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/DIRECTOR OF OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "617-481-8991"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa R Forest
• Courtney Ann Formicola, M.A., M.PSY
• Traci L Forrest, M.A.
• Karen Forte, LMHC
• David Forth
• Susan M Forward, LMHC
• Brian Foss
• Jennyfer Franca, DC
• Christine Grace Frances, MA LMHC NCC
• Marian Francis, OTR/L

• Clinical Social Worker in Quincy, MA
• Providers in Quincy, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.