1. Home
  2. Directory
  3. Massachusetts
  4. Buzzards Bay
  5. Social Worker
  6. NPI Profile

ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC
NPI 1902285414
Social Worker - Clinical in Buzzards Bay, MA

Active since May 29, 2015
121 MAIN ST, BUZZARDS BAY, MA 02532(774) 247-4939(774) 302-4419 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 15, 2018, Jan 1, 2016 (2 updates tracked since 2016).

About Odonata Psychotherapy & Retreat Center Llc NPPES

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

ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC (NPI 1902285414) is a healthcare organization registered as a clinical in Buzzards Bay, Massachusetts and active in the NPI registry since May 2015. The organization lists Nancy C Wiley, Owner, as its authorized official.

NPPES Registry Identity

NPI1902285414
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameODONATA PSYCHOTHERAPY & RETREAT CENTER LLC
Location Address121 MAIN STBuzzards Bay, MA 02532
Mailing Address121 Main StBuzzards Bay, MA 02532-3245 · (774) 247-4939 · Fax (774) 302-4419
Phone(774) 247-4939
Fax(774) 302-4419
Organization SubpartNo
Authorized OfficialNancy C WileyOwner · (774) 247-4939
Enumeration DateMay 29, 2015
Last NPPES UpdateAugust 15, 20182 updates tracked since enumeration
✔ NPI 1902285414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 118383
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.
121 MAIN ST, Buzzards Bay, MA 02532
Open in Google Maps ↗

Other Identifiers 1

Medicaid110101319AMA

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

Other Providers at the Same Location NPPES 3

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

KELLY KRAMER LCSW
Social Worker
121 MAIN ST
BUZZARDS BAY, MA 02532
Barnstable County (774) 247-4939
ODONATA PSYCHOTHERAPY & RETREAT CENTER LLC
Counselor (Mental Health)
121 MAIN ST
BUZZARDS BAY, MA 02532
Barnstable County (774) 247-4939
JODI L STAPLER BSED, CP
Counselor
121 MAIN ST
BUZZARDS BAY, MA 02532
Barnstable County (747) 247-4939

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 Odonata Psychotherapy & Retreat Center LLC's NPI number?

The NPI number for Odonata Psychotherapy & Retreat Center LLC is 1902285414. It was assigned to this organization in the NPPES registry on May 29, 2015.

Where is Odonata Psychotherapy & Retreat Center LLC located?

Odonata Psychotherapy & Retreat Center LLC is located at 121 Main St, Buzzards Bay, MA 02532. The listed phone number is (774) 247-4939.

What is Odonata Psychotherapy & Retreat Center LLC'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 Odonata Psychotherapy & Retreat Center LLC was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.