EC THERA-FIT GROUP, LLC (NPI# 1265099667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265099667 |
| Entity Type | Organization |
| Organization Name | EC THERA-FIT GROUP, LLC |
| Practice Address |
900 Main St Oakville CT 06779-1999 |
| Mailing Address |
52 Spring Rd Wolcott CT 06716-1616 |
| Practice Telephone | 8608563380 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | DWAYNE CLEMENTS JR. (MANAGER) |
| Authorized Official Telephone | 8608563380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
900 MAIN ST |
| City | OAKVILLE |
| State | CT |
| Zip Code | 06779-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467010116 | Primal Mental and Physical Health | Counselor | 900 Main St, Oakville, CT 06779-1999 | 2019-05-29 |
| 1982184842 | Andrew Michael Shurretto | Physical Therapy Assistant | 900 Main St, Oakville, CT 06779-1999 | 2018-08-20 |
| 1992201321 | Sarah Zimmerman | Occupational Therapist | 900 Main St, Oakville, CT 06779-1999 | 2018-04-04 |
| 1710490636 | Dana Kalksma | Occupational Therapist | 900 Main St, Oakville, CT 06779-1999 | 2017-11-14 |
| 1669990248 | Veronica Elyse Saavedra | Occupational Therapy Assistant | 900 Main St, Oakville, CT 06779-1999 | 2017-09-05 |
| 1356882484 | Sarah Ann Lafo | Occupational Therapist | 900 Main St, Oakville, CT 06779-1999 | 2017-03-08 |
| 1063969251 | Danielle Finnegan | Occupational Therapist | 900 Main St, Oakville, CT 06779-1999 | 2016-09-06 |
| 1689000531 | Tina Marie Rhodes | Occupational Therapist | 900 Main St, Oakville, CT 06779-1999 | 2013-09-24 |
| 1922449628 | Family Junction Birth To Three | Early Intervention Provider Agency | 900 Main St, Oakville, CT 06779-1999 | 2013-07-10 |
| 1407290760 | Kristi Anne Ehnot | Occupational Therapy Assistant | 900 Main St, Oakville, CT 06779-1999 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063991636 | Karen Brazauskas | Occupational Therapist | Jumpstart Therapy and Fitness Network, 900 Main St, Oakville, CT 06779 | 2018-08-14 |
| 1184997983 | At Home Hearing Care Group LLC | Hearing Instrument Specialist | 13 Colonial St Apt 3, Oakville, CT 06779 | 2012-02-10 |
| 1639104680 | Craig W Czarsty | Family Medicine | 314 Main Street, Health One Physician Associates PC Oakville Family Phys, Oakville, CT 06779 | 2006-07-11 |
| 1003153297 | Heather C Malsin | Speech-Language Pathologist | 900 Main Street, Oakville, CT 06779 | 2013-01-09 |
| 1033497912 | Marianne Lusk | Speech-Language Pathologist | 900 Main Street, Oakville, CT 06779 | 2011-07-27 |
| 1023225133 | Help Unlimited Inc | Contractor | 285 Main Street, Oakville, CT 06779 | 2007-05-17 |
| 1154825933 | Meaghan Jeannette Spagnolo | Specialist/Technologist | 214 Parkman St, Oakville, CT 06779-1352 | 2018-03-19 |
| 1598122947 | Charles Staples Jr. | Nurse Practitioner | 205 Sylvan Lake Rd, Watertown, CT 06779-1450 | 2016-01-15 |
| 1265995476 | A & I Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 69 Taft Ave, Oakville, CT 06779-1617 | 2019-04-13 |
| 1386917086 | Kelly Jean Aitchison | Dental Hygienist | 2 Tarbell Ave, Oakville, CT 06779-1620 | 2012-02-13 |
| Find all providers in zip 06779 | ||||
| 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 |
|---|---|---|---|---|
| 1932614765 | Stephanie Ann Miranda | Social Worker | 21 Lancaster St, Oakville, CT 06779-2011 | 2017-12-01 |
| 1770940629 | Mindful Healing LLC | Social Worker | 9 Ridge Ct, Oakville, CT 06779-2406 | 2016-01-23 |
| 1598892739 | Therapy Unlimited-children's Therapy Center | Social Worker | 900 Main St, Oakville, CT 06779-1999 | 2007-02-27 |
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|---|---|---|---|---|
| 1043811805 | Nancy Harvey Lcsw, LLC | Social Worker | 14 Randal Ave, West Hartford, CT 06110-1743 | 2020-11-06 |
| 1316548290 | Katherine Ducharme Lcsw | Social Worker | 370 High St Apt 3, Torrington, CT 06790-6381 | 2020-11-05 |
| 1053911677 | Linda Rich | Social Worker | 100 Alba Dr, Bristol, CT 06010-2601 | 2020-11-01 |
| 1578163614 | Ella Behavioral Health and Consulting LLC | Social Worker | 602 Cambridge Cmns, Middletown, CT 06457-5871 | 2020-10-28 |
| 1184223612 | Professional Exchange Network LLC | Social Worker | 15 Pond St, Unionville, CT 06085-1521 | 2020-10-26 |
| 1659971190 | Laura Minatti | Social Worker | 210 Crestwood Dr, Guilford, CT 06437-1322 | 2020-10-26 |
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1740889120 | Jennifer Ayers Lcsw, LLC | Social Worker | 7 Avenue East Ext, Beacon Falls, CT 06403-1428 | 2020-10-18 |
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
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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.