WEAVE YOUR LIFE LLC (NPI# 1104149293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104149293 |
| Entity Type | Organization |
| Organization Name | WEAVE YOUR LIFE LLC |
| Practice Address |
963 Queen St Suite C Southington CT 06489-1282 |
| Practice Telephone | 8608198570 |
| Mailing Telephone | 8608198570 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | AUDREY L BENNETT (MANAGER) |
| Authorized Official Telephone | 8608198570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 006194 | CT | Agencies |
| N | 251S00000X | Community/Behavioral Health | 000729 | CT | Agencies |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
006194 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008040743 | 05 |
| Street Address |
963 QUEEN ST SUITE C |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757413 | Erica Marchetti | Counselor | 963 Queen St, Southington, CT 06489-1282 | 2014-07-09 |
| 1417221003 | Dara Holcomb | Counselor | 963 Queen St, Suite C, Southington, CT 06489-1282 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719545 | Choose Your Path Counseling LLC | Social Worker | 92 N Summit St Ste 2g, Southington, CT 06489-3000 | 2020-01-08 |
| 1730608969 | Alena Joy Pearce | Social Worker | 1033 Meriden Ave, Southington, CT 06489-4057 | 2017-09-19 |
| 1518341056 | Turning Leaves Counseling, LLC | Social Worker | 725 Meriden Waterbury Tpke, Southington, CT 06489-4126 | 2015-07-15 |
| 1831577477 | Leah Moskowitz | Social Worker | 92 N Summit St Ste 2d, Southington, CT 06489-3000 | 2015-05-15 |
| 1669740510 | Rebecca Wilson | Social Worker | 129 Hitching Post Dr, Southington, CT 06489-2862 | 2011-12-07 |
| 1952547382 | Kelly Anne Lynch | Social Worker | 56 Center Street, 2nd Floor, Southington, CT 06489-2537 | 2009-01-07 |
| 1780775908 | Lynne Ann Zeitler | Social Worker | 17 Meriden Ave, Southington, CT 06489-3227 | 2006-09-27 |
| 1265030910 | Trellis Counseling and Wellness LLC | Social Worker | 38 Patula Ct, Southington, CT 06489-1816 | 2020-10-14 |
| 1669948576 | Valerie Martin | Social Worker | 725 Meriden Waterbury Tpke, Southington, CT 06489-4126 | 2018-10-17 |
| 1235604331 | Standing Tall Counseling, LLC | Social Worker | 92 N Summit St Ste 2d, Southington, CT 06489-3000 | 2018-10-04 |
| Find all providers in SOUTHINGTON | ||||
| City | SOUTHINGTON |
| Zip Code | 06489 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.