Retreat Wellness Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RETREAT WELLNESS GROUP LLC

Practice address

33 Cypress Ave
Shrewsbury, MA 01545-1310

Phone

(774) 239-3204

NPI assigned

Jun 14, 2021

Last updated

Jun 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meghan Gerardi, LICSWNPI 1023494663

Title

Owner

Phone

(774) 239-3204

Specialties & licenses 1

Addresses

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.

• Meghan Gerardi, LICSW,

  • Clinical Social Worker
  • Leicester, MA
  • NPI 1023494663
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1649848920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CYPRESS AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451310",
            "telephone_number": "774-239-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CYPRESS AVE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015451310",
            "telephone_number": "774-239-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETREAT WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "GERARDI",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-239-3204",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Shrewsbury, MA
• Providers in Shrewsbury, 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 Jun 14, 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.