NPIMap

Organization Active NPI

Recovery and Growth Counseling

  • Clinical Social Worker
  • Pembroke, MA
National Provider Identifier
1871705939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2023779 Issued in MA
Legal business name
RECOVERY AND GROWTH COUNSELING
Practice address
2 Columbia Road
Pembroke, MA 02360
Phone
(781) 829-9044
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary A Marek, LCSW
Title
Counselor
Phone
(781) 829-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 2023779 MA Primary

Addresses

Primary practice location

2 Columbia Road
Pembroke, MA 02360

Mailing address

2 Columbia Road
Pembroke, MA 02360
Phone (781) 829-9044

Other identifiers 1

IdentifierTypeStateIssuer
2023779OtherMACOUNSELOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871705939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA ROAD",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "781-829-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COLUMBIA ROAD",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "781-829-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY AND GROWTH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "781-829-9044",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "2023779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "2023779",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.