Organization Active NPI

Vaca Counseling Services, LLC

  • Clinical Social Worker
  • Brockton, MA
National Provider Identifier
1760281935
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VACA COUNSELING SERVICES, LLC
Practice address
37 Wellington St
Brockton, MA 02301-5033
Phone
(857) 675-2503
Fax
(857) 328-0215
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Vanessa Vaca
Title
Licsw/Owner
Phone
(857) 675-2503

Specialties & licenses 1

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

Addresses

Primary practice location

37 Wellington St
Brockton, MA 02301-5033

Mailing address

68 Harrison Ave Ste 605
Boston, MA 02111-1929
Phone (857) 675-2503

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1760281935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARRISON AVE STE 605",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111929",
            "telephone_number": "857-675-2503",
            "fax_number": "857-328-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WELLINGTON ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015033",
            "telephone_number": "857-675-2503",
            "fax_number": "857-328-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "VACA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "LICSW/OWNER",
        "authorized_official_telephone_number": "857-675-2503"
    },
    "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 Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.