Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LIVING WATER COUNSELING CENTER, INC.
Active
Organization
LIVING WATER COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK H WOTTON III LICSE, LADC 1 (PRESIDENT)
(413) 315-3194
Entity
Organization
Contact information
Practice address
94 SUFFOLK ST, HOLYOKE, MA 01040-4458
(413) 315-3194
(413) 322-8404
Mailing address
94 SUFFOLK ST, HOLYOKE, MA 01040-4458
(413) 315-3194
(413) 322-8404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114516
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005602
MEDICARE
MA
01
—
109497
BEACON
MA
01
—
241903
TUFT
MA
01
—
45208
HEALTH NEW ENGLAND
MA
01
—
6724849
AETNA
MA
01
—
P09114
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/23/2013
Last updated
05/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up