LIVING WATER COUNSELING CENTER, INC. (NPI# 1922445535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922445535 |
| Entity Type | Organization |
| Organization Name | LIVING WATER COUNSELING CENTER, INC. |
| Practice Address |
94 Suffolk St Holyoke MA 01040-4458 |
| Practice Telephone | 4133153194 |
| Practice Fax Number | 4133228404 |
| Mailing Telephone | 4133153194 |
| Mailing Fax Number | 4133228404 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | MR. FRANK H WOTTON III (PRESIDENT) |
| Authorized Official Telephone | 4133153194 |
| Authorized Official Credential | LICSE, LADC 1 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
114516 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA | 6724849 | 01 |
| MA | MEDICARE | 0005602 | 01 |
| MA | BEACON | 109497 | 01 |
| MA | TUFT | 241903 | 01 |
| MA | HEALTH NEW ENGLAND | 45208 | 01 |
| MA | BLUE CROSS BLUE SHIELD | P09114 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619264892 | Living Water Counseling Center, Inc. | Counselor | 137 Laxton Rd, Suite 250, Lynchburg, VA 24502-3144 | 2011-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LIVING WATER COUNSELING CENTER, INC. | 94 Suffolk Street, Holyoke, MA 01040 |
| Street Address |
94 SUFFOLK ST |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306162185 | Crystal Elisa Quiles | Social Worker | 94 Suffolk St, Holyoke, MA 01040-4458 | 2010-04-19 |
| 1699125005 | Brooke Dunleavy | Counselor | 94 Suffolk St, Holyoke, MA 01040-4458 | 2016-06-16 |
| 1992175780 | Stephen Sleboda | Counselor | 94 Suffolk St, Holyoke, MA 01040-4458 | 2015-10-06 |
| 1598163404 | Robin Harris | Counselor | 94 Suffolk St, Holyoke, MA 01040-4458 | 2014-12-09 |
| 1932505609 | Denise Marie Amato | Social Worker | 94 Suffolk St, Holyoke, MA 01040-4458 | 2014-11-07 |
| 1902206345 | Colin Thomas Blair | Social Worker | 94 Suffolk St, Holyoke, MA 01040-4458 | 2014-09-03 |
| 1669899407 | Vincent Falkowski | Counselor | 94 Suffolk St, Holyoke, MA 01040-4458 | 2014-03-18 |
| 1427473578 | Carolyn Chaput | Counselor | 94 Suffolk St, Holyoke, MA 01040-4458 | 2014-02-26 |
| 1326179839 | Frank Wotton | Social Worker | 94 Suffolk St, Holyoke, MA 01040 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| 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 |
|---|---|---|---|---|
| 1043786999 | Angela Maria Colon | Social Worker | 46 Brown Ave, Holyoke, MA 01040-3502 | 2018-10-18 |
| 1578048112 | Ida Dian Mccollum | Social Worker | 20 Easthampton Rd Apt F8, Holyoke, MA 01040-6847 | 2018-09-29 |
| 1215412986 | Katherine Angelica Oscar | Social Worker | 84 Wellesley Rd, Holyoke, MA 01040-2029 | 2018-09-28 |
| 1720562432 | Susan Buczala | Social Worker | 330 Whitney Ave, Holyoke, MA 01040-2751 | 2018-09-18 |
| 1912481615 | Jenna Sellers | Social Worker | 247 Cabot St Ste 1, Holyoke, MA 01040-3900 | 2018-09-18 |
| 1821571282 | Jennifer Lingenberg | Social Worker | 1913 Northampton St, Holyoke, MA 01040-3401 | 2018-09-12 |
| 1255814158 | Bobbi Lieberman | Social Worker | 70 N Summer St, Holyoke, MA 01040-6208 | 2018-09-07 |
| 1780191726 | Jessica Prodis Licsw | Social Worker | 208 Race St Ste 302, Holyoke, MA 01040-5707 | 2017-12-29 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1366692220 | Julie Schwager | Social Worker | 494 Appleton St, Holyoke, MA 01040-3211 | 2008-09-26 |
| Find all providers in HOLYOKE | ||||
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| 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.