Seekonk Counseling and Relational Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110751 Issued in MA

Legal business name

SEEKONK COUNSELING AND RELATIONAL CENTER, LLC

Practice address

1563 Fall River Ave
Suite 7
Seekonk, MA 02771-3736

Phone

(774) 229-2170

Fax

(774) 229-2105

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Steven D Berube, MSW, LICSW

Title

Owner

Phone

(774) 229-2170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 3

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

• Steve Berube, LICSW

  • Clinical Social Worker
  • East Providence, RI
  • NPI 1720068521

  MA

  Medicare reassignment NPD
• Frederick William Green III, PSYD

  • Psychologist
  • Rehoboth, MA
  • NPI 1629451588
  NPD (past)
• Ursula Mary Spont, MS, LMHC

  • Mental Health Counselor
  • Seekonk, MA
  • NPI 1841541141
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1962851154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 FALL RIVER AVE",
            "address_2": "SUITE 7",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027713736",
            "telephone_number": "774-229-2170",
            "fax_number": "774-229-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 FALL RIVER AVE",
            "address_2": "SUITE 7",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027713736",
            "telephone_number": "774-229-2170",
            "fax_number": "774-229-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEEKONK COUNSELING AND RELATIONAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-229-2170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surey Rodriguez-Cortes
• Route 6 Walk in Emergency Office
• Sams East Inc
• Tracy Lynn Schuler, NP
• Season for Change Counseling
• Seekonk Physical Therapy Services Inc
• Kerry Sherlock, FNP-C
• Jenisha Shrestha
• William Siemiaszko, DDS
• Thomas Deeg Sills, M.D.

• Clinical Social Worker in Seekonk, MA
• Providers in Seekonk, 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 Jun 8, 2016; 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.