Organization Active NPI

Holistically You, Inc.

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1780159871
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Vanessa Leveille, LICSWNPI 1124374608
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1124374608MedicaidMA

Other names 1

  • Holistically You, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.