Organization Active NPI

Room for Resilience LLC

  • Clinical Social Worker
  • Wakefield, MA
National Provider Identifier
1619609997
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROOM FOR RESILIENCE LLC
Practice address
333 North Ave Ste a
Wakefield, MA 01880-2300
Phone
(857) 293-3185
NPI assigned
Jun 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Maria Angela Citro, LICSW
Title
Owner
Phone
(857) 256-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

333 North Ave Ste a
Wakefield, MA 01880-2300

Mailing address

333 North Ave Ste a
Wakefield, MA 01880-2300
Phone (857) 293-3185

National Provider Directory

National Provider Directory

Locations

333 North Ave
Ste A
Wakefield, MA 01880
Phone (781) 658-9798

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1619609997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 NORTH AVE STE A",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802300",
            "telephone_number": "857-293-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 NORTH AVE STE A",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802300",
            "telephone_number": "857-293-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOM FOR RESILIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "CITRO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-256-4388",
        "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": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.