Active NPI
Holistically You, Inc.
- Clinical Social Worker
- Boston, MA
National Provider Identifier
1780159871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOLISTICALLY YOU, INC.
- Practice address
- 100A Warren St Ste 1
Boston, MA 02119-3209 - Phone
- (617) 286-6861
- NPI assigned
- Oct 4, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Leveille, LICSW
- Title
- Clinical Social Worker
- Phone
- (617) 286-6861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
100A Warren St Ste 1
Boston, MA 02119-3209
Mailing address
100 Warren St Ste 1a
Roxbury, MA 02119-3259
Phone (617) 286-6861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124374608 | Medicaid | MA |
Other names 1
- Holistically You, Inc.
National Provider Directory
National Provider DirectoryLocations
100 Warren St
Ste 1A
Roxbury, MA 02119
Phone (617) 286-6861
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Roxbury, MA
- NPI 1124374608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626307200000",
"number": "1780159871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WARREN ST STE 1A",
"city": "ROXBURY",
"state": "MA",
"postal_code": "021193259",
"telephone_number": "617-286-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100A WARREN ST STE 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021193209",
"telephone_number": "617-286-6861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTICALLY YOU, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-04",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A",
"authorized_official_last_name": "LEVEILLE",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "617-286-6861",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124374608",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holistically You, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Holistically You, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Jul 15, 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.