ACTUALIZE COUNSELING & NUTRITION LLC
NPI 1316571136
Social Worker - Clinical in Arlington, MA

Q: What is Actualize Counseling & Nutrition LLC's NPI number?

The NPI number for Actualize Counseling & Nutrition LLC is 1316571136. It was assigned to this organization in the NPPES registry on March 2, 2020.

Q: What is Actualize Counseling & Nutrition LLC's specialty?

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

Active since March 02, 2020

30 STANDISH RD, ARLINGTON, MA 02476(781) 430-9833 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Actualize Counseling & Nutrition Llc NPPES

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

ACTUALIZE COUNSELING & NUTRITION LLC (NPI 1316571136) is a healthcare organization registered as a clinical in Arlington, Massachusetts and active in the NPI registry since March 2020. The organization lists Lisa Keovongsa, Owner, as its authorized official.

NPPES Registry Identity

NPI1316571136

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameACTUALIZE COUNSELING & NUTRITION LLC

Location Address30 STANDISH RDArlington, MA 02476-7069

Mailing Address30 Standish RdArlington, MA 02476-7069 · (781) 430-9833

Phone(781) 430-9833

Organization SubpartNo

Authorized OfficialLisa KeovongsaOwner · (781) 430-9833

Enumeration DateMarch 2, 2020

Last NPPES UpdateSeptember 25, 2023

NPPES CertifiedSeptember 25, 2023

✔ NPI 1316571136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X

30 STANDISH RD, Arlington, MA 02476

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 5

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

KHAMPHADY KEOVONGSA LICSW

Social Worker (Clinical)