Embodied Counseling and Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EMBODIED COUNSELING AND WELLNESS LLC

Practice address

744 Williams St
Pittsfield, MA 01201-7402

Phone

(413) 358-1099

NPI assigned

Jun 6, 2025

Organization subpart

No

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

Authorized official

Name

Samantha Vaccaro, LICSQNPI 1972999514

Title

Owner

Phone

(413) 358-1099

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 Vaccaro, LCSW

  • Clinical Social Worker
  • Peru, MA
  • NPI 1972999514
  NPD Authorized official

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1508750183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KREUTZER RD",
            "city": "PERU",
            "state": "MA",
            "postal_code": "012359265",
            "telephone_number": "413-358-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 WILLIAMS ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017402",
            "telephone_number": "413-358-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-358-1099",
        "authorized_official_credential": "LICSQ"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryll A Ellery, LMHC, CADAC
• Jay M Ellis, D.O.
• A. Gray Ellrodt, M.D.
• Brenda Elman
• Gabriele P Elston-Ferry, NP
• Emerest Home Care of Massachusetts LLC
• Alicia M Emerson, FNP
• Michael E Ende, M.D.
• Epoch Assisted Living of Melbourne, LLC
• Roberta Theresa Erena, MD FACC

• Clinical Social Worker in Pittsfield, MA
• Providers in Pittsfield, 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 Jun 6, 2025; 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.