NPIMap

Organization Active NPI

Familywell PLLC

  • Clinical Social Worker
  • Concord, MA
National Provider Identifier
1396524005
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FAMILYWELL PLLC
Practice address
300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone
(864) 336-2731
Fax
(833) 740-3387
NPI assigned
Sep 22, 2023
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Lisa O Howell
Title
Credentialing Director
Phone
(864) 336-2731

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

300 Baker Ave Ste 300
Concord, MA 01742-2124

Mailing address

PO Box 271
Burlington, MA 01803-0471
Phone (864) 336-2731

Other practice location 1

959 S Waukegan Rd Fl 2
Lake Forest, IL 60045-2654
Phone (864) 336-2731

Other practice location 2

3201 Matlock Rd Ste 350
Arlington, TX 76015-2954
Phone (864) 336-2731

Other practice location 3

144 Oakland St
Wellesley, MA 02481
Phone (508) 658-3489

Other practice location 4

2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone (864) 336-2731

Other practice location 5

2 Corporate Dr Ste 240
Shelton, CT 06484-6274
Phone (508) 658-3489

Other names 1

  • MommiHealth PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, CT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240325002040 MA Part B Supplier - Clinic/Group Practice 9436596582 Receives reassigned benefits from 26 practitioners
Practice locations: Concord, MA
O20240801000515 TX Part B Supplier - Clinic/Group Practice 9436596582 Receives reassigned benefits from 21 practitioners
Practice locations: Arlington, TX; Austin, TX
O20250121000072 CT Part B Supplier - Clinic/Group Practice 9436596582 Receives reassigned benefits from 12 practitioners
Practice locations: Shelton, CT

National Provider Directory

National Provider Directory

Locations

60 Pearson Blvd
Gardner, MA 01440
Phone (978) 955-6829

2025 Guadalupe St
Ste 260
Austin, TX 78705
Phone (508) 658-3489

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1396524005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018030471",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAKER AVE STE 300",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422124",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 S Waukegan Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600452654",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Matlock Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760152954",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Oakland St",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "02481",
            "country_code": "US",
            "telephone_number": "508-658-3489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Guadalupe St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787055642",
            "country_code": "US",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Corporate Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846274",
            "country_code": "US",
            "telephone_number": "508-658-3489",
            "fax_number": "833-740-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILYWELL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "864-336-2731"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MommiHealth PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MommiHealth PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.