DEEP ROOTS COUNSELING GROUP LLC (NPI# 1093377418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093377418 |
| Entity Type | Organization |
| Organization Name | DEEP ROOTS COUNSELING GROUP LLC |
| Practice Address |
21 Blackstone St Bellingham MA 02019-1601 |
| Practice Telephone | 7745719069 |
| Mailing Telephone | 7745719069 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-08-29 |
| Authorized Official Name | KERRIE ANN CUSACK (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 7745719069 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
21 BLACKSTONE ST |
| City | BELLINGHAM |
| State | MA |
| Zip Code | 02019-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699259184 | Kerrie Ann Cusack | Social Worker | 21 Blackstone St, Bellingham, MA 02019-1601 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144505132 | Dina Russell | Pharmacist | 1 Wrentham Street, Bellingham, MA 02019 | 2011-10-21 |
| 1770729923 | Patricia Mary Palmer | Physical Therapy Assistant | 40 North Main St., Bellingham, MA 02019 | 2008-12-17 |
| 1659489342 | Burton J Stein | Family Medicine | 88 David Rd, Bellingham, MA 02019 | 2006-08-25 |
| 1871514083 | C & S Rehabilitation Incorp | Physical Therapist | 40 North Main St, Bellingham, MA 02019 | 2006-07-22 |
| 1437398773 | Charles William Locke Sr. | Physical Therapy Assistant | 40 North Main St., Bellingham, MA 02019 | 2009-02-10 |
| 1205074473 | Krista-lee Malouin | Physical Therapy Assistant | 40 North Main St., Bellingham, MA 02019 | 2009-01-27 |
| 1679711840 | Maribeth Aron | Physical Therapy Assistant | 40 North Main Street, Bellingham, MA 02019 | 2009-01-27 |
| 1821234782 | Michelle Lee Castiglione | Physical Therapy Assistant | 40 N. Main St., Bellingham, MA 02019 | 2008-12-26 |
| 1265678288 | Carleen Christine Elwin | Physical Therapy Assistant | 40 North Main St., Bellingham, MA 02019 | 2008-12-22 |
| 1457596785 | Rebecca Marie Brosnan | Physical Therapy Assistant | 40 N Main St, Bellingham, MA 02019 | 2008-12-16 |
| Find all providers in zip 02019 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681881 | Geneva Elizabeth Graham | Social Worker | 2223 I St Apt A, Bellingham, WA 98225-3321 | 2020-02-13 |
| 1316580038 | Ryan R Douglas | Social Worker | 2602 St Clair Pl, Bellingham, WA 98226-6131 | 2019-10-25 |
| 1689228264 | Sara Morgan Gall | Social Worker | 3865 Magrath Rd, Bellingham, WA 98226-8884 | 2019-07-31 |
| 1699259184 | Kerrie Ann Cusack | Social Worker | 21 Blackstone St, Bellingham, MA 02019-1601 | 2018-09-20 |
| 1346735347 | Maria Rockwell | Social Worker | 1020 N State St, Bellingham, WA 98225-5012 | 2018-06-22 |
| 1598259889 | Erin Ann Clouthier Antenen | Social Worker | 1106 Harris Ave Ste 210, Bellingham, WA 98225-7001 | 2018-06-19 |
| 1972092856 | Ashley Aiken | Social Worker | 621 N Forest St Apt 2, Bellingham, WA 98225-5346 | 2018-05-06 |
| 1013414036 | Tamara C Dee | Social Worker | 1313 E Maple St Ste 229, Bellingham, WA 98225 | 2018-04-06 |
| 1710411053 | Leigh Wirth Counseling | Social Worker | 2339 West St, Bellingham, WA 98225-2150 | 2017-04-13 |
| 1295279875 | Esther Maria Grummel | Social Worker | 103 E Holly St Ste 319, Bellingham, WA 98225-4728 | 2016-12-15 |
| Find all providers in BELLINGHAM | ||||
| City | BELLINGHAM |
| Zip Code | 02019 |
Please comment or provide details below to improve the information on DEEP ROOTS COUNSELING GROUP LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.