Wellformed AI

NPI 1245034669 · live from the CMS NPI Registry

A Big Life LLC

Social Worker, Clinical in Trumbull, CT. National Provider Identifier 1245034669, active.

NPI record

NPI1245034669 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location92 Richfield Rd, Trumbull, CT 06611
Practice phone203-208-8541
EnumeratedApril 3, 2025
Last updatedApril 3, 2025
Authorized officialMelissa Divito, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.