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PSYCHOTHERAPY SERVICES OF CT LLC NPI 1992802649


NPI Information

NPI: 1992802649
Provider Name: PSYCHOTHERAPY SERVICES OF CT, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
45 HARTFORD TURNPIKE
STE 2
VERNON, CT
ZIP 06066
Phone: (860) 647-8995
Get Directions

PSYCHOTHERAPY SERVICES OF CT, LLC is a clinical social worker in Vernon, 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. PSYCHOTHERAPY SERVICES OF CT, LLC NPI is 1992802649. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

45 HARTFORD TURNPIKE
STE 2
VERNON, CT
ZIP 06066-274
Phone: (860) 647-8995
Fax: (860) 647-6930

The provider's authorized official is Christine Routhier .
The authorized official title is Owner and has the following contact phone number (860) 647-8995.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 9/23/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical006126CONNECTICUTNo
2106H00000XMarriage & Family Therapist000507,001079CONNECTICUTNo
3101YA0400XCounselorAddiction (Substance Use Disorder)001186CONNECTICUTNo
41041C0700XSocial WorkerClinical006126,007376CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1800003857MEDICARE PINCONNECTICUT
2CBHP003857MEDICAIDCONNECTICUT

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: 4/28/2024

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