Healthcare Provider Details

I. General information

NPI: 1124987151
Provider Name (Legal Business Name): PINECONE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2026
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 FRANKLIN PL APT 1L
BEVERLY MA
01915-5872
US

IV. Provider business mailing address

16 FRANKLIN PL APT 1L
BEVERLY MA
01915-5872
US

V. Phone/Fax

Practice location:
  • Phone: 315-486-9334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: REN WORKMAN
Title or Position: OWNER/ CLINICIAN
Credential: LICSW
Phone: 315-486-9334