Mind and Heart Workshop Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND AND HEART WORKSHOP GROUP LLC

Practice address

151 Everett Ave
Chelsea, MA 02150-1812

Phone

(617) 887-3809

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

A G Avila, LICSW, MPH

Title

Psychotherapist

Phone

(617) 887-3809

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.

• Ada Gabriela Avila, LCSW

  • Clinical Social Worker
  • Chelsea, MA
  • NPI 1417507328
  NPD

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1770309098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MAIN ST UNIT 1",
            "city": "EVERETT",
            "state": "MA",
            "postal_code": "021495729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EVERETT AVE",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021501812",
            "telephone_number": "617-887-3809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Main St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "MA",
            "postal_code": "021495729",
            "country_code": "US",
            "telephone_number": "617-606-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND AND HEART WORKSHOP GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "617-887-3809",
        "authorized_official_credential": "LICSW, MPH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy W Miller
• Pamela B Miller, LICSW
• Loudena Millis
• Myriame Laura Milord
• Teona Milunovic
• Dulcy Mitchell, O.D.
• John J Moeling, L.I.C.S.W.
• Hodan Mohamed, LICSW
• Kosar Ali Mohamed, AA
• Muna Mohamed

• Clinical Social Worker in Chelsea, MA
• Providers in Chelsea, 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 Dec 2, 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.