MY MIND MATTERS NPI 1316625080

NPI Information

  • NPI: 1316625080
  • Provider Name: MY MIND MATTERS
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 34 JEROME AVE STE 116
    BLOOMFIELD, CT
    ZIP 06002
  • Phone: (860) 386-8034

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NPI Details

MY MIND MATTERS is a clinical social worker in Bloomfield, CT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MY MIND MATTERS NPI is 1316625080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

34 JEROME AVE STE 116
BLOOMFIELD, CT
ZIP 06002-463
Phone: (860) 386-8034

The provider's authorized official is DR. KENIESHAKeniesha Johnson .
The authorized official title is Owner and has the following contact phone number (860) 680-4240.

The enumeration date for this NPI number is 7/11/2023 and was last updated on 7/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
21041S0200XSocial WorkerSchoolNo
3171400000XHealth and Wellness CoachNo
4221700000XArt TherapistNo
51041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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