Headspace LLC
Social Worker, Clinical in Wethersfield, Connecticut
1083229355- Practice location
- 433 Silas Deane Hwy, Wethersfield, CT 06109-2123
- Phone
- 860-837-0300
- Fax
- 860-540-1069
- Last updated
- September 13, 2020
Headspace LLC is a healthcare organization based in Wethersfield, CT. Headspace LLC practices in Wethersfield, CT. The NPI Number for Headspace LLC is 1083229355. The current practice location address for Headspace LLC is 433 Silas Deane Hwy, Wethersfield, CT 06109-2123 and can be reached out via phone at 860-837-0300 and via fax at 860-540-1069.
Provider Profile Details
- NPI Number
- 1083229355
- Provider Name
- Headspace LLC
- Provider Entity Type
- Organization
- Address
- 433 Silas Deane Hwy, Wethersfield, CT 06109-2123
- Phone Number
- 860-837-0300
- Fax Number
- 860-540-1069
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Ms. Samantha Burgos, LCSW · Owner · 860-837-0300
- Provider Enumeration Date
- September 13, 2020
- Last Update Date
- September 13, 2020
- Certification Date
- September 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 433 Silas Deane Hwy
Wethersfield, CT 06109-2123 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-2123
- Phone Number
- 860-837-0300
- Fax Number
- 860-540-1069
Provider Business Mailing Address Details
- Address
- 433 Silas Deane Hwy
Wethersfield, CT 06109-2123 - City
- Wethersfield
- State
- CT
- Zip
- 06109-2123
- Phone Number
- 860-837-0300
- Fax Number
- 860-540-1069
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Wethersfield, CT
View all Social Worker, Clinical providers in Wethersfield →- Alanna Cofrancesco, LCSWSocial Worker, Clinical · NPI 1023778180
- Alyssa Johnston, LCSWSocial Worker, Clinical · NPI 1811627540
- Amy Z Martin, MED, LCSWSocial Worker, Clinical · NPI 1528632643
- Brittany M CarilliSocial Worker, Clinical · NPI 1760269864
- Bryan Habif, LCSWSocial Worker, Clinical · NPI 1427352897
- Carly Sundel, LCSWSocial Worker, Clinical · NPI 1669872743
Frequently Asked Questions
What is the NPI number of Headspace LLC?
The NPI number of Headspace LLC is 1083229355. It was assigned on September 13, 2020 and is currently active in the NPPES registry.
What is the specialty of Headspace LLC?
Headspace LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Headspace LLC practice?
The practice location is 433 Silas Deane Hwy, Wethersfield, CT 06109-2123. The office can be reached at 860-837-0300 (phone) or 860-540-1069 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083229355 directly on the NPPES registry website.