Livewell Therapy Associates PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1027532 Issued in MA

Legal business name

LIVEWELL THERAPY ASSOCIATES PLLC

Practice address

266 Beacon St Ste 4R
Boston, MA 02116-1288

Phone

(617) 970-8580

Fax

(857) 753-4264

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Adam Glick, LICSW

Title

Owner

Phone

(617) 970-8580

Specialties & licenses 1

Addresses

Practitioners 2

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

• Donghee Kim

  • Mental Health Counselor
  • Boston, MA
  • NPI 1407534480
  NPD (past)
• Ryan Panaro, LICSW

  • Clinical Social Worker
  • Boston, MA
  • NPI 1952892465
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1326556846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 BEACON ST STE 4R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161288",
            "telephone_number": "617-970-8580",
            "fax_number": "857-753-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 BEACON ST STE 4R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161288",
            "telephone_number": "617-970-8580",
            "fax_number": "857-753-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL THERAPY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-970-8580",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhuo Liu, M.D.
• Zong Cheng Liu, MS RDN LDN
• Gabrielle Itta Liverant, PH.D.
• Samantha Christine Livermore, PA-C
• Martha Livesay, RN
• Kristin S Livingston, M.D.
• Nicholas Alexander Livingston, PH.D.
• Zoe Wilson Livingston, NP
• Sonya Livitz
• Helen S Livson, DMD

• Clinical Social Worker in Boston, MA
• Providers in Boston, 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 18, 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.