Organization Active NPI

Nova Wellness Therapy PLLC

  • Clinical Social Worker
  • Saint Johnsbury, VT
National Provider Identifier
1700609385
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NOVA WELLNESS THERAPY PLLC
Practice address
1155 Concord Ave
Saint Johnsbury, VT 05819-9352
Phone
(781) 346-7710
NPI assigned
Nov 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Carlinne Barros
Title
Owner
Phone
(781) 346-7710

Specialties & licenses 1

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

Addresses

Primary practice location

1155 Concord Ave
Saint Johnsbury, VT 05819-9352

Mailing address

1155 Concord Ave
Saint Johnsbury, VT 05819-9352
Phone (781) 346-7710

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1700609385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 CONCORD AVE",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058199352",
            "telephone_number": "781-346-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 CONCORD AVE",
            "city": "SAINT JOHNSBURY",
            "state": "VT",
            "postal_code": "058199352",
            "telephone_number": "781-346-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA WELLNESS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "BARROS",
        "authorized_official_first_name": "CARLINNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-346-7710"
    },
    "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 Saint Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.