Cultivated Wellness Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CULTIVATED WELLNESS PSYCHOTHERAPY LLC

Practice address

10 Wilson St
Lewiston, ME 04240-5422

Phone

(207) 252-9303

NPI assigned

Feb 23, 2023

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Trinity Nicole Macomber, LCSWNPI 1952907115

Title

Founder/ Clinical Director

Phone

(207) 252-9303

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trinity Nicole Macomber, LCSW

  • Clinical Social Worker
  • Wilton, ME
  • NPI 1952907115

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1942909403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILSON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405422",
            "telephone_number": "207-252-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILSON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405422",
            "telephone_number": "207-252-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATED WELLNESS PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "TRINITY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "FOUNDER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "207-252-9303",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce K Cropper, AU.D.
• Camden Crosby, CADC, LMSW-CC
• Cheri Crossman
• Sharon D Crowell, LCSW
• Ellen Rose Pogson Culberson, LCSW
• Christine M Curci, LCSW
• Peter Currie, CRNA
• Stephen Currie
• Amanda Curtin, LCPC-C
• Monica Ann Curtin

• Clinical Social Worker in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.