RESTORATIVE WELLNESS (NPI# 1306458542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306458542 |
| Entity Type | Organization |
| Organization Name | RESTORATIVE WELLNESS |
| Practice Address |
16 Depot St Windham ME 04062-4115 |
| Practice Telephone | 2077494991 |
| Mailing Telephone | 2077494991 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | JESSICA PAO (CLINICIAN) |
| Authorized Official Telephone | 2077494991 |
| Authorized Official Credential | LCSW |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528427887 | Restorative Wellness | Massage Therapist | 419 Nw 23rd Ave, Suite 101, Portland, OR 97210-3470 | 2016-02-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Restorative Wellness Center LLC | 1355 South 8th Street, Suite 204, Colorado Springs, CO 80905 |
| Colorado Business Entities | Restorative Wellness Counseling LLC | 744 Flower St, Grand Junction, CO 81506-1817 |
| New York State Corporations | RESTORATIVE WELLNESS LLC | 457 N Ontario Ave, Lindenhurst, Ny 11757 |
| Colorado Business Entities | Restorative Wellness LLC | 1049 Grant Ave, Loveland, CO 80537 |
| Oregon Corporations, Companies and Business Names | RESTORATIVE WELLNESS, LLC | 419 Nw 23rd Ave Ste 101, Portland, OR 97210 |
| Street Address |
16 DEPOT ST |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| 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 |
|---|---|---|---|---|
| 1962979740 | Monique Tremblay Burke | Social Worker | 16 Stonehedge Rd, Windham, NH 03087-1251 | 2018-10-30 |
| 1700395068 | Samantha Rose Bacchi | Social Worker | 38 Thrush Ter, Windham, ME 04062-5790 | 2017-09-29 |
| 1326356924 | Douglas Daigle | Social Worker | 406 Gray Rd, Windham, ME 04062-4290 | 2010-09-16 |
| 1881900165 | Laura-lea Langlais | Social Worker | 29 Kimbertown Ln, Windham, ME 04062-3368 | 2010-08-25 |
| 1295933489 | Nolan M Thompson | Social Worker | 755 Roosevelt Trl # 3b, Windham, ME 04062-5341 | 2007-07-10 |
| 1548320427 | Julia Laurenson Orr | Social Worker | 17 Mallison Falls Rd, Windham, ME 04062-4101 | 2006-12-11 |
| 1154330975 | Michelle H. Bolen | Social Worker | 744 Roosevelt Trl Ste 302a, Windham, ME 04062-5281 | 2006-08-08 |
| 1700836079 | Mary C Fletcher | Social Worker | 110 Tandberg Trl, Windham, ME 04062-5206 | 2006-05-10 |
| 1649813353 | Connecting The Dots LLC | Social Worker | 219 Roosevelt Trl, Windham, ME 04062-4396 | 2019-10-25 |
| 1952773327 | Rebecca Marie Knowles | Social Worker | 86 Tandberg Trl, Windham, ME 04062-5841 | 2015-10-26 |
| Find all providers in WINDHAM | ||||
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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.