McKeon Wellness Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MCKEON WELLNESS SERVICES LLC

Practice address

38 Miller Rd
Northford, CT 06472-1423

Phone

(475) 234-0308

NPI assigned

Feb 18, 2022

Last updated

Feb 18, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maria Forgione

Title

Billing Manager

Phone

(203) 848-8305

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1023763976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MILLER RD",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MILLER RD",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721423",
            "telephone_number": "475-234-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKEON WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "FORGIONE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "203-848-8305"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Northford, CT
• Providers in Northford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.