Connecting to Greatness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONNECTING TO GREATNESS LLC

Practice address

27 Monument SQ Ste 100
Leominster, MA 01453-5769

Phone

(978) 516-4600

Fax

(978) 516-4601

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Kimatra Maxwell, LICSWNPI 1154864668

Title

Owner

Phone

(978) 602-4913

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Kimatra Maxwell

  • Social Worker
  • Fitchburg, MA
  • NPI 1154864668
  NPD Authorized official
• Roselene Rebecca Rowe, LICSW

  • Social Worker
  • Worcester, MA
  • NPI 1083200729
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1437627908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014538417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MONUMENT SQ STE 100",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014535769",
            "telephone_number": "978-516-4600",
            "fax_number": "978-516-4601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Main St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "014208007",
            "country_code": "US",
            "telephone_number": "978-516-4600",
            "fax_number": "978-516-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECTING TO GREATNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "KIMATRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-602-4913",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coordinated Primary Care

• Clinical Social Worker in Leominster, MA
• Providers in Leominster, 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 Jul 21, 2020; 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.