Another Chance Therapy and Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113614 Issued in MA

Legal business name

ANOTHER CHANCE THERAPY AND COACHING

Practice address

465 Nashua Rd
Suite 6
Dracut, MA 01826-2944

Phone

(978) 771-0840

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Kendall Ducharme, LICSW

Title

Owner

Phone

(978) 771-0840

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, and the practitioner matching its NPPES authorized official.

• Colleen Kendall, LICSW

  • Clinical Social Worker
  • Dracut, MA
  • NPI 1457373995
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1275790644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 NASHUA RD",
            "address_2": "SUITE 6",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262944",
            "telephone_number": "978-771-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 NASHUA RD",
            "address_2": "SUITE 6",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018262944",
            "telephone_number": "978-771-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOTHER CHANCE THERAPY AND COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "DUCHARME",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-771-0840",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Dracut, MA
• Providers in Dracut, 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 May 21, 2008; 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.