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LIFE TIDE THERAPY, LLC
NPI 1114513967
Social Worker - Clinical in Charlestown, MA

Active since December 16, 2020
54 HIGH ST, CHARLESTOWN, MA 02129(603) 520-6388 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Tide Therapy, Llc NPPES

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

LIFE TIDE THERAPY, LLC (NPI 1114513967), doing business as Danielle A Haynes, is a healthcare organization registered as a clinical in Charlestown, Massachusetts and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Boston and lists Danielle A Haynes, Licsw, as its authorized official.

NPPES Registry Identity

NPI1114513967
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE TIDE THERAPY, LLC
Location Address54 HIGH STCharlestown, MA 02129-3377
Mailing Address54 High StCharlestown, MA 02129-3377 · (603) 520-6388
Phone(603) 520-6388
Organization SubpartNo
Authorized OfficialDanielle A HaynesLicsw · (857) 302-4902
Enumeration DateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1114513967 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.
54 HIGH ST, Charlestown, MA 02129
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Other Names 1

Doing Business AsDanielle A Haynes

Secondary Practice Location 1

Location 113 Bowdoin StBoston, MA 02114-4246 · Phone (857) 302-4902

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIGH PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
54 HIGH ST
CHARLESTOWN, MA 02129
Suffolk County (617) 242-0415

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 Life Tide Therapy, LLC's NPI number?

The NPI number for Life Tide Therapy, LLC is 1114513967. It was assigned to this organization in the NPPES registry on December 16, 2020. The provider is doing business as Danielle A Haynes.

Where is Life Tide Therapy, LLC located?

Life Tide Therapy, LLC is located at 54 High St, Charlestown, MA 02129. The listed phone number is (603) 520-6388.

What is Life Tide Therapy, LLC's specialty?

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

What insurance does Life Tide Therapy, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Life Tide Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Life Tide Therapy, LLC was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.