Holistic Mind & Muscle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLISTIC MIND & MUSCLE

Practice address

77 Main St
Hopkinton, MA 01748-3118

Phone

(774) 276-9004

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Jeanie Marino

Title

LCSW/Owner

Phone

(774) 276-9004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1831985985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017483118",
            "telephone_number": "774-276-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MAIN ST",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017483118",
            "telephone_number": "774-276-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MIND & MUSCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JEANIE",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "774-276-9004"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Hopkinton, MA
• Providers in Hopkinton, 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 Apr 16, 2025; 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.