Northeast Therapy & Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NORTHEAST THERAPY & WELLNESS LLC

Practice address

62 Homestead Ave
Indian Orchard, MA 01151-1810

Phone

(203) 606-9083

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Anna O'Donnell-Bearce, LCSW

Title

Owner

Phone

(203) 606-9082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

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

• Anna Elizabeth O'Donnell, LCSW

  • Clinical Social Worker
  • Torrington, CT
  • NPI 1891330478
  Medicare reassignment NPD
• Jaclyn Marie Vitkovsky

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrington, CT
  • NPI 1508472259
  NPD
• Paulette Spagnolo, LCSW

  • Clinical Social Worker
  • Torrington, CT
  • NPI 1578913364
  NPD (past)

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1619780384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HOMESTEAD AVE",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511810",
            "telephone_number": "203-606-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HOMESTEAD AVE",
            "city": "INDIAN ORCHARD",
            "state": "MA",
            "postal_code": "011511810",
            "telephone_number": "203-606-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL-BEARCE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-606-9082",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daisy Ortiz, RN, BSN
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• Clinical Social Worker in Indian Orchard, MA
• Providers in Indian Orchard, 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 Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.