NPIMap

Organization Active NPI

Behavioral Health and Wellness Solutions of CT, LLC

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1114479888
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007256 Issued in CT
Legal business name
BEHAVIORAL HEALTH AND WELLNESS SOLUTIONS OF CT, LLC
Practice address
3013 Dixwell Ave
Hamden, CT 06518-3527
Phone
(203) 400-1884
NPI assigned
Oct 28, 2016
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Mrs. Jessica Kathleen Marshall, LCSWNPI 1700194271
Title
Owner
Phone
(203) 400-1884

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007256 CT Primary

Addresses

Primary practice location

3013 Dixwell Ave
Hamden, CT 06518-3527

Mailing address

31 Timberwood TRL
Hamden, CT 06514-1159
Phone (203) 400-1884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170321002521 CT Part B Supplier - Clinic/Group Practice 5395020945 Receives reassigned benefits from 21 practitioners
Practice locations: Hamden, CT
O20210426002363 MA Part B Supplier - Clinic/Group Practice 5395020945 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MA

National Provider Directory

National Provider Directory

Locations

2911 Dixwell Ave
Ste 202B
Hamden, CT 06518
Phone (203) 399-6071

109 Watertown Ave
Waterbury, CT 06708
Phone (203) 399-6071

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1114479888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 TIMBERWOOD TRL",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141159",
            "telephone_number": "203-400-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183527",
            "telephone_number": "203-400-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH AND WELLNESS SOLUTIONS OF CT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-400-1884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.

Verify at the official NPI Registry.