Active NPI
Thrive Counseling Services, LLC
- Clinical Social Worker
- Newington, CT
National Provider Identifier
1093101396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008029
- Legal business name
- THRIVE COUNSELING SERVICES, LLC
- Practice address
- 1268 Main St
Suite 106
Newington, CT 06111-3038 - Phone
- (860) 919-6673
- NPI assigned
- Apr 13, 2015
- 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
- Tara Scrivano, LCSW
- Title
- Owner/Member
- Phone
- (860) 919-6673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008029 | CT | Primary |
Addresses
Primary practice location
1268 Main St
Suite 106
Newington, CT 06111-3038
Mailing address
38 Northampton LN
Plainville, CT 06062-1232
Phone (860) 919-6673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336477363 | Medicaid | CT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1093101396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 NORTHAMPTON LN",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621232",
"telephone_number": "860-919-6673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 MAIN ST",
"address_2": "SUITE 106",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061113038",
"telephone_number": "860-919-6673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRIVE COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "SCRIVANO",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "860-919-6673",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336477363",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.