NPIMap

Organization Active NPI

Woosource LLC

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1306697784
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOOSOURCE LLC
Practice address
68 Harrison Ave Ste 605
Boston, MA 02111-1929
Phone
(508) 969-3818
NPI assigned
Apr 1, 2024
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Enmanuel Feliz, LICSWNPI 1902490170
Title
Owner
Phone
(817) 736-0400

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

68 Harrison Ave Ste 605
Boston, MA 02111-1929

Mailing address

68 Harrison Ave Ste 605
Boston, MA 02111-1929
Phone (508) 500-6720

Other practice location 1

765 Westminster St Ste 205
Providence, RI 02903-4082
Phone (508) 500-6720

Other practice location 2

287 Grove St Ste 204
Worcester, MA 01605-3905
Phone (508) 500-6720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240515000724 MA Part B Supplier - Clinic/Group Practice 5890136352 Receives reassigned benefits from 4 practitioners
Practice locations: Leicester, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1306697784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE STE 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "508-500-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE STE 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "508-969-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 Westminster St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034082",
            "country_code": "US",
            "telephone_number": "508-500-6720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "287 Grove St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016053905",
            "country_code": "US",
            "telephone_number": "508-500-6720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOOSOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "FELIZ",
        "authorized_official_first_name": "ENMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-736-0400",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.