Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Psychotherapy LLC

Organization Clinical Social Worker · NPI 1699651562

Revive Psychotherapy LLC is a Clinical Social Worker in Natick, Massachusetts. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21 Eisenhower Ave
Natick, MA 01760-2946
Phone: (978) 905-9609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1699651562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nidhi Jain — Manager · (978) 905-9609
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address21 Eisenhower Ave, Natick, MA 01760-2946

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