Organization Active NPI

Cognitive Behavioral Therapy and Wellness Associates, LLC

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1770998155
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115022 Issued in MA
Legal business name
COGNITIVE BEHAVIORAL THERAPY AND WELLNESS ASSOCIATES, LLC
Practice address
268 Newbury St
Boston, MA 02116-2424
Phone
(617) 407-7190
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Karen Chinca, LICSW
Title
President
Phone
(617) 407-7190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 115022 MA Primary

Addresses

Primary practice location

268 Newbury St
Boston, MA 02116-2424

Mailing address

95 Blake Rd
Brookline, MA 02445-4553

National Provider Directory

National Provider Directory

Locations

268 Newbury St
Boston, MA 02116
Phone (617) 407-7190

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1770998155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BLAKE RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162424",
            "telephone_number": "617-407-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIORAL THERAPY AND WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CHINCA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-407-7190",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.