Life Tide Therapy, LLC
NPI 1114513967 · Clinical Social Worker · Charlestown, MA
Life Tide Therapy, LLC is a Clinical Social Worker organization in Charlestown, MA (NPI 1114513967).
Provider details
- NPI number
- 1114513967
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Danielle Haynes, Licsw(857) 302-4902
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Danielle a Haynes
Additional practice locations (1)
- 13 Bowdoin StBoston, MA 02114-4246Phone: (857) 302-4902
Registry dates
- Enumerated
- 2020-12-16
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Frequently asked questions
- What is Life Tide Therapy, LLC's NPI number?
- Life Tide Therapy, LLC's National Provider Identifier (NPI) is 1114513967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Tide Therapy, LLC?
- Life Tide Therapy, LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Life Tide Therapy, LLC located?
- Life Tide Therapy, LLC's practice location on file with NPPES is 54 High St, Charlestown, MA 02129-3377.
- What is Life Tide Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Tide Therapy, LLC is (603) 520-6388.
- Who is the authorized official for Life Tide Therapy, LLC?
- The authorized official listed on Life Tide Therapy, LLC's NPPES record is Danielle Haynes, Licsw. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Tide Therapy, LLC's NPI active?
- Yes — Life Tide Therapy, LLC's NPI (1114513967) is active in the NPPES registry as of the last update on 2020-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.