ETHEREAL COUNSELING PLLC
NPI 1063356913
Social Worker - Clinical in Brockton, MA

Active since April 20, 2026
16 TRAFALGAR ST, BROCKTON, MA 02301(617) 419-0753 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethereal Counseling Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHEREAL COUNSELING PLLC (NPI 1063356913) is a healthcare organization registered as a clinical in Brockton, Massachusetts and active in the NPI registry since April 2026. The organization lists Rita A Rooney, Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1063356913
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameETHEREAL COUNSELING PLLC
Location Address16 TRAFALGAR STBrockton, MA 02301-2152
Mailing Address16 Trafalgar StBrockton, MA 02301-2152 · (617) 419-0753
Organization SubpartNo
Authorized OfficialRita A RooneyClinical Social Worker · (617) 419-0753
Enumeration DateApril 20, 2026
NPPES CertifiedApril 19, 2026
NPI 1063356913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
16 TRAFALGAR ST, Brockton, MA 02301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethereal Counseling PLLC's NPI number?

The NPI number for Ethereal Counseling PLLC is 1063356913. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is Ethereal Counseling PLLC located?

Ethereal Counseling PLLC is located at 16 Trafalgar St, Brockton, MA 02301. The listed phone number is (617) 419-0753.

What is Ethereal Counseling PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Ethereal Counseling PLLC was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.