Wellformed AI

NPI 1740786201 · live from the CMS NPI Registry

A New Way Therapeutics

Social Worker, Clinical in West Hartford, CT. National Provider Identifier 1740786201, active.

NPI record

NPI1740786201 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location199 Oakwood Ave, West Hartford, CT 06119
Practice phone860-777-6049
Mailing address93 Village Green Dr, New Britain, CT 06053
EnumeratedApril 3, 2018
Last updatedApril 3, 2018
Authorized officialCharisse Weston-Keldo, President

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X005890 (CT)

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