Wellformed AI

NPI 1811906241 · live from the CMS NPI Registry

Adolescent & Family Counseling Center, LLC

Social Worker, Clinical in Cheshire, CT. National Provider Identifier 1811906241, active.

NPI record

NPI1811906241 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location350 S Main St, The Republic Building / Suite 23, Cheshire, CT 06410
Practice phone203-271-1234
EnumeratedAugust 5, 2006
Last updatedJuly 7, 2008
Authorized officialHerbert Rosenfield, Director

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional101YP2500X— (CT)
Psychologist, School103TS0200X— (CT)
Marriage & Family Therapist106H00000X— (CT)
Social Worker, Clinical primary1041C0700X— (CT)

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