Activated by Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119767 Issued in MA

Legal business name

ACTIVATED BY WELLNESS, LLC

Practice address

66 Washington St
North Easton, MA 02356-1012

Phone

(617) 871-9807

Fax

(617) 419-1055

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

Vivien Roman-Hampton, LICSW

Title

Owner/Mental Health Therapist

Phone

(617) 871-9807

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.

• Samantha Street, LCSW

  • Clinical Social Worker
  • Fall River, MA
  • NPI 1538719661
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1386194611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023460254",
            "telephone_number": "617-871-9807",
            "fax_number": "617-419-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WASHINGTON ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561012",
            "telephone_number": "617-871-9807",
            "fax_number": "617-419-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATED BY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "ROMAN-HAMPTON",
        "authorized_official_first_name": "VIVIEN",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "617-871-9807",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mostafa Abousayed, MD
• Albert A Ackil, M.D.
• Kristie O Adloff, PSY.D.
• Bennett Edward Ahearn, MD
• Elizabeth Bishop Alach, AP RN BC
• Albert a. Ackil, M.D., Inc.
• Alejandro Y. Mendoza, M.D., LLC

• Clinical Social Worker in North Easton, MA
• Providers in North Easton, 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 Oct 11, 2016; 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.