Nancy Jean Wohlrabe, LCSW
Individual provider Active NPI Clinical Social Worker · East Berlin, CT
NPI 1124244355 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1124244355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149008816 (IL)
- Practice address
- 1224 Mill St Ste B001
East Berlin, CT 06023-1166 - Phone
- (847) 245-7939
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149008816 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Journey Therapy, PLLC | Current |
Accepting new patients |
Locations
1224 Mill St
Ste B001
East Berlin, CT 06023
Phone (847) 245-7939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149008816 | IL | Yes |
Addresses
Primary practice location
1224 Mill St Ste B001
East Berlin, CT 06023-1166
Mailing address
1224 Mill St Ste B001
East Berlin, CT 06023-1166
Other providers in East Berlin, CT
- Jason Tartt
- Thriving Journey Therapy, PLLC
- Rebecca Jane Turgeon
- Ultraflex Systems, Inc.
- Eileen Wilson
All providers in East Berlin, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.