New Bridge to Holistic Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NEW BRIDGE TO HOLISTIC HEALTH LLC

Practice address

18 Hammond St
Worcester, MA 01610-1513

Phone

(508) 883-0277

NPI assigned

Nov 9, 2020

Organization subpart

No

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

Authorized official

Name

Cora Y Butler-Jones, LICSW, PHDNPI 1356525927

Title

Owner

Phone

(508) 883-0277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

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

• Cora Butler-Jones, LICSW

  • Clinical Social Worker
  • Worcester, MA
  • NPI 1356525927
  Medicare reassignment NPD Authorized official
• Augustus C Sealy, PHD LMHC

  • Mental Health Counselor
  • Santa Clarita, CA
  • NPI 1750448965
  NPD (past)

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1427659150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STOCKHOLM ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016071530",
            "telephone_number": "508-883-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HAMMOND ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101513",
            "telephone_number": "508-883-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRIDGE TO HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER-JONES",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-883-0277",
        "authorized_official_credential": "LICSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Nevalsky, MSW, LICSW
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• Clinical Social Worker in Worcester, MA
• Providers in Worcester, 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 Nov 9, 2020; 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.