Provider Demographics
NPI:1891433025
Name:CLEW COUNSELING, LLC
Entity Type:Organization
Organization Name:CLEW COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GERMANOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-776-7603
Mailing Address - Street 1:354 WASHINGTON ST STE 324
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6221
Mailing Address - Country:US
Mailing Address - Phone:781-776-7603
Mailing Address - Fax:
Practice Address - Street 1:354 WASHINGTON ST STE 324
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-6221
Practice Address - Country:US
Practice Address - Phone:781-776-7603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health