East Side Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1028438 Issued in MA

Legal business name

EAST SIDE COUNSELING SERVICES, LLC

Practice address

1311 Bedford St
Fall River, MA 02723-2637

Phone

(508) 567-1477

Fax

(508) 567-6494

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Mary R. Cruz, LICSWNPI 1922362458

Title

Manager

Phone

(508) 567-1477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Rose Cruz, LICSW

  • Clinical Social Worker
  • Fall River, MA
  • NPI 1922362458
  Medicare reassignment Care Compare group NPD Authorized official
• Maria E. Cruz, LICSW

  • Mental Health Counselor
  • Plymouth, MA
  • NPI 1265592364
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1902141179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BEDFORD ST.",
            "city": "FALL RIVE, MA",
            "state": "MA",
            "postal_code": "02723",
            "telephone_number": "508-567-1477",
            "fax_number": "598-567-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027232637",
            "telephone_number": "508-567-1477",
            "fax_number": "508-567-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-567-1477",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scott Eastman, ED.D.
• Teresa Jean Easton, MSW
• Donna Ebsary
• Samantha R Eckrich, BS, BA
• Eduardo Leonardo, MD Inc

• Clinical Social Worker in Fall River, MA
• Providers in Fall River, 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 Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.