Breakthrough Therapeutic Services

Organization Active NPI Clinical Social Worker · Woodbridge, CT

NPI 1013553585 · NPPES record last updated Nov 20, 2019

Key facts

NPI
1013553585
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
BREAKTHROUGH THERAPEUTIC SERVICES
Practice address
30 Hazel Ter Ste 20
Woodbridge, CT 06525-2240
Phone
(203) 543-6406
NPI assigned
Nov 20, 2019
Organization subpart
No

Authorized official

Name
Miss Kadiesha Webley, LCSW
Title
Owner
Phone
(203) 543-6406

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

30 Hazel Ter Ste 20
Woodbridge, CT 06525-2240

Mailing address

2838 Whitney Ave Apt 14
Hamden, CT 06518-2542
Phone (203) 543-6406

Other providers in Woodbridge, CT

All providers in Woodbridge, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.