Therapeutic Collaborations, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004939 Issued in CT

Legal business name

THERAPEUTIC COLLABORATIONS, LLC

Practice address

140 Glastonbury Blvd
Suite 25
Glastonbury, CT 06033-4402

Phone

(860) 644-0300

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly M Radocchia, LCSW, LADC, CACNPI 1831463132

Title

Manager

Phone

(860) 644-0300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kelly M Radocchia, LCSW, LADC, CAC

  • Clinical Social Worker
  • Glastonbury, CT
  • NPI 1831463132
  NPD (past) Authorized official

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1104190404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 OAKLAND RD",
            "address_2": "UNIT 106",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GLASTONBURY BLVD",
            "address_2": "SUITE 25",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334402",
            "telephone_number": "860-644-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC COLLABORATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "RADOCCHIA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-644-0300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, LADC, CAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Foot Group, LLC
• The Hearing Center of Glastonbury
• The Stop & Shop Supermarket Company LLC
• The Stop & Shop Supermarket Company LLC
• Thekey of Connecticut, LLC
• Therelease LLC
• Theresa Lerner LLC
• Sarah E Thibodeau, APRN
• Kevin P. Thibodeaux, D.C.
• Steven Thiele, D.C.

• Clinical Social Worker in Glastonbury, CT
• Providers in Glastonbury, 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 Mar 5, 2012; 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.