Individual provider Active NPI

Luciana Echavarria

  • Clinical Social Worker
  • Lowell, MA
National Provider Identifier
1780166355
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
224037 Issued in MA
Practice address
391 Varnum Ave
Lowell, MA 01854-2119
Phone
(978) 455-3397
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 123610 MA
Clinical Social Worker 1041C0700X 224037 MA Primary

Addresses

Primary practice location

391 Varnum Ave
Lowell, MA 01854-2119

Mailing address

84 W Broadway Ste 200
Derry, NH 03038-2323
Phone (978) 226-8538

Other names 1

  • Luciana Flaven Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123610MAMDClinical Social Worker
224037MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Time for Me Counseling PLLC Clinical Current Accepting new patients

Locations

84 W Broadway
Ste 200
Derry, NH 03038
Phone (508) 484-3034

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1780166355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382323",
            "telephone_number": "978-226-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018542119",
            "telephone_number": "978-455-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHAVARRIA",
        "first_name": "LUCIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123610",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIANA",
            "last_name": "FLAVEN",
            "credential": "LICSW, PMH-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.