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WESTSIDE BEHAVIORAL HEALTH LLC NPI 1689720302


NPI Information

NPI: 1689720302
Provider Name: WESTSIDE BEHAVIORAL HEALTH, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
7 CHRISTY DRIVE
SUITE 3
BROCKTON, MA
ZIP 02301
Phone: (508) 580-4611
Get Directions

WESTSIDE BEHAVIORAL HEALTH, LLC is a clinical social worker in Brockton, MA. The provider is 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. WESTSIDE BEHAVIORAL HEALTH, LLC NPI is 1689720302. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7 CHRISTY DRIVE
SUITE 3
BROCKTON, MA
ZIP 02301
Phone: (508) 580-4611
Fax: (508) 580-4404

The provider's authorized official is Michael Stephen Weiner .
The authorized official title is Partener and has the following contact phone number (508) 580-4611.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist7330MASSACHUSETTSNo
2103T00000XPsychologist8177MASSACHUSETTSNo
31041C0700XSocial WorkerClinical104590MASSACHUSETTSNo
41041C0700XSocial WorkerClinical110746MASSACHUSETTSNo
51041C0700XSocial WorkerClinical1027200MASSACHUSETTSNo
6163WP0808XRegistered NursePsychiatric/Mental Health94523MASSACHUSETTSNo
7163WP0808XRegistered NursePsychiatric/Mental Health90943MASSACHUSETTSNo
82084P0800XPsychiatry & NeurologyPsychiatry35081MASSACHUSETTSNo
9364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult135140MASSACHUSETTSNo
101041C0700XSocial WorkerClinical105028MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P10235OTHERMASSACHUSETTSBLUE CROSS GROUP NUMBER
2=========OTHERMASSACHUSETTSTAX ID NUMBER
30003931MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.