Elisabeth Secor, Licsw LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELISABETH SECOR, LICSW LLC

Practice address

226 Lowell St Ste B7
Wilmington, MA 01887-3073

Phone

(781) 462-6030

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Elisabeth Secor, LICSWNPI 1245595362

Title

Owner

Phone

(781) 462-6030

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Elisabeth Rose Secor

  • Mental Health Counselor
  • Jamaica Plain, MA
  • NPI 1245595362
  NPD Authorized official

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1619545233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LOWELL ST STE B7",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873073",
            "telephone_number": "781-462-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LOWELL ST STE B7",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873073",
            "telephone_number": "781-462-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH SECOR, LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "SECOR",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-462-6030",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303414",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esecor@elisabethsecorlicsw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "226 Lowell St Ste B7",
            "city": "Wilmington",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018873073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joy Edobor-Ovabor
• Wyatt Edwards
• Delaney Eisenberg, PA-C
• Kerri L Eldredge, P.T
• Eleos Inc.
• Jamie Elliott, LPN, IBCLC
• Karen Elizabeth Enegess, M.A.
• Kayla Esce, LMHC
• Excella Homecare, Inc.
• Gloria Leyla Fanning Tacoaman

• Mental Health Counselor in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.