Wellness Within LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119011 Issued in MA

Legal business name

WELLNESS WITHIN LLC

Practice address

200 N Main St
Suite 11
East Longmeadow, MA 01028-2392

Phone

(413) 209-7796

Fax

(413) 200-3095

NPI assigned

Apr 6, 2017

Organization subpart

No

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

Authorized official

Name

Heather Gaudette, MSW, LICSWNPI 1669791067

Title

Co-Founder

Phone

(732) 309-9016

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Heather R Gaudette, MSW, LCSW

  • Clinical Social Worker
  • Hillsborough, NJ
  • NPI 1669791067
  NPD (past) Authorized official
• Calla Harrington, LICSW

  • Clinical Social Worker
  • Springfield, MA
  • NPI 1144321282
  NPD (past)
• Rebecca N. Kreshak-Hayden, LMHC

  • Mental Health Counselor
  • Northampton, MA
  • NPI 1730705997
  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491436800000",
    "number": "1619400652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "SUITE 11",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282392",
            "telephone_number": "413-209-7796",
            "fax_number": "413-200-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "SUITE 11",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282392",
            "telephone_number": "413-209-7796",
            "fax_number": "413-200-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WITHIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A",
        "authorized_official_last_name": "GAUDETTE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "732-309-9016",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Warren, LICSW
• June Watts, LPC
• Lynne M Weidl, PT
• Welcoming Safe Space Therapeutic Services, Inc.
• Priscilla Seibles Weldon, LMHC, LPC
• Shannon E West-Buxton, PNP
• Western Massachusetts Podiatry Associates, P.C.
• Delaney Ann Whitehead, ATC
• Megan L Wiedler, DPT
• Birnie Edward Williams II, MSW, LICSW, LCSW

• Clinical Social Worker in East Longmeadow, MA
• Providers in East Longmeadow, 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 Apr 6, 2017; 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.