Familywell PLLC
Organization Active NPI Clinical Social Worker · Concord, MA
NPI 1396524005 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1396524005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 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
- Organization subpart
- No
Authorized official
- Name
- Lisa O Howell
- Title
- Credentialing Director
- Phone
- (864) 336-2731
Practitioners 68
-
Melissa Jane Ayantola, MS, LMHC
-
Elise A Bocchino, PMHNP-BC
-
Marissa Caan, MD
-
Samantha B Chiarenza, LICSW
-
Marvi Panhwar, LCSW
-
Dahyana Paul, PMHNP-BC
-
Carrie Ann Powers, MSW LCSW
-
Laywell Tedoe, NP
-
Kara Dorchak, LCSW
-
Margaret Anne Fleckenstein, LICSW
-
Judith Forrester, LPC
-
Elizabeth Gilio, APRN
-
Katherine Gorman, LCSW
-
Kimberly A Harrell, LCSW
-
Rosalinda I Heider, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MA, TX, CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
60 Pearson Blvd
Gardner, MA 01440
Phone (978) 924-4410
150 Tarrytown Rd
Manchester, NH 03103
Phone (603) 622-3162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | Yes | ||
| Psychiatry Physician |
2084P0800X | |||
| Psychiatric/Mental Health Nurse Practitioner |
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
2 Corporate Dr Ste 240
Shelton, CT 06484-6274
Phone (508) 658-3489
Other practice location 2
959 S Waukegan Rd Fl 2
Lake Forest, IL 60045-2654
Phone (864) 336-2731
Other practice location 3
3201 Matlock Rd Ste 350
Arlington, TX 76015-2954
Phone (864) 336-2731
Other practice location 4
2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone (864) 336-2731
Other practice location 5
144 Oakland St
Wellesley, MA 02481
Phone (508) 658-3489
Other names
- MommiHealth PLLC
Other providers in Concord, MA
- Paige Fairbanks
- Baylee Fairhurst
- James Daniel Falvey
- Family Dermatology, P.C.
- Family Dermatology, P.C.
- Karen Marie Fanucci
- Ellen Farmer
- Philip Farrelly
- Allyson Morgan Farren
- Michael H. Fattal
All providers in Concord, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.