Organization Active NPI

Awakening

  • Social Worker
  • Salem, MA
National Provider Identifier
1548969504
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
AWAKENING
Practice address
17 Paradise Rd # 1057
Salem, MA 01970-4229
Phone
(978) 219-6749
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Janet Colon
Title
Individual Contractor
Phone
(978) 572-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

17 Paradise Rd # 1057
Salem, MA 01970-4229

Mailing address

17 Paradise Rd # 1057
Salem, MA 01970-4229
Phone (978) 219-6749

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1548969504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PARADISE RD # 1057",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704229",
            "telephone_number": "978-219-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 PARADISE RD # 1057",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704229",
            "telephone_number": "978-219-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-25",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "INDIVIDUAL CONTRACTOR",
        "authorized_official_telephone_number": "978-572-3420"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.