LATITUDE BEHAVIORAL HEALTH (NPI# 1376098004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376098004 |
| Entity Type | Organization |
| Organization Name | LATITUDE BEHAVIORAL HEALTH |
| Practice Address |
49 Woods Dr Norwich CT 06360-1560 |
| Practice Telephone | 8603332160 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | STEPHANIE M. HOLDEN (OWNER) |
| Authorized Official Telephone | 8606290339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009147 | CT | Behavioral Health & Social Service Providers |
| Street Address |
49 WOODS DR |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| 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 |
|---|---|---|---|---|
| 1457973810 | Melissa Agnelli Rondeau | Social Worker | 77 Gifford St, Norwich, CT 06360-4041 | 2020-05-08 |
| 1396366464 | Heather Ann Brisson | Social Worker | 65 Otrobando Ave, Norwich, CT 06360-2218 | 2020-04-30 |
| 1275092777 | Empower Counseling and Therapy, Pllc | Social Worker | 12 Case St Ste 201, Norwich, CT 06360-2222 | 2019-03-14 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1972079648 | Dillon James O'keefe | Social Worker | 331 E Main Street, Norwich, CT 06360-5836 | 2018-10-19 |
| 1104312057 | Synergy Psychotherapeutics Plc | Social Worker | 221 Us Route 5 S, Norwich, VT 05055-9523 | 2018-07-03 |
| 1518479864 | Amy Jean Gallagher | Social Worker | 11a Stott Ave, Norwich, CT 06360-1507 | 2017-10-26 |
| 1952831067 | Paul Foster | Social Worker | 108 Academy Rd, Norwich, VT 05055-9481 | 2017-06-13 |
| 1861926347 | Deberey Hinchey | Social Worker | 46 Cherry Hill Rd, Norwich, CT 06360-5227 | 2017-04-12 |
| 1285085811 | Andrew Staunton | Social Worker | 2 Clinic Dr, Norwich, CT 06360-2916 | 2016-06-24 |
| Find all providers in NORWICH | ||||
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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.