Active NPI
Restoring You Wellness Center LLC
- Clinical Social Worker
- Cheshire, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RESTORING YOU WELLNESS CENTER LLC
- Practice address
- 1113 S Main St Ste F
Cheshire, CT 06410-3436 - Phone
- (203) 699-6318
- NPI assigned
- Oct 11, 2019
- Last updated
- Jan 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittney Jackson, MSW, MBA, LCSW
- Title
- Member
- Phone
- (203) 699-6318
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
1113 S Main St Ste F
Cheshire, CT 06410-3436
Mailing address
1113 S Main St Ste F
Cheshire, CT 06410-3436
Phone (203) 699-6318
Other practice location 1
707 Green Meadow Ln
Smyrna, TN 37167-5893
Phone (615) 933-6127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, TN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1113 S Main St
Ste F
Cheshire, CT 06410
Phone (203) 272-7381
51 Depot St
Ste 204
Watertown, CT 06795
Phone (203) 699-6318
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Cheshire, CT
- NPI 1700474806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642982400000",
"number": "1023650090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 S MAIN ST STE F",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103436",
"telephone_number": "203-699-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 S MAIN ST STE F",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103436",
"telephone_number": "203-699-6318"
}
],
"practiceLocations": [
{
"address_1": "707 Green Meadow Ln",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371675893",
"country_code": "US",
"telephone_number": "615-933-6127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RESTORING YOU WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-11",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "BRITTNEY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "203-699-6318",
"authorized_official_credential": "MSW, MBA, LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.