Organization Active NPI

Therapeutic Matters LLC

  • Clinical Social Worker
  • Norwich, CT
National Provider Identifier
1124391511
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006491 Issued in CT
Legal business name
THERAPEUTIC MATTERS LLC
Practice address
8 Mahan Dr
Norwich, CT 06360-2426
Phone
(860) 934-5123
NPI assigned
Feb 15, 2012
Last updated
Jan 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Authorized official

Name
Mrs. Kerri A McAvay-Redner, LCSWNPI 1447459698
Title
Owner, Manager
Phone
(860) 934-5123

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 WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 006491 CT Primary

Addresses

Primary practice location

8 Mahan Dr
Norwich, CT 06360-2426

Mailing address

206 McKinley Avenue Ext
Norwich, CT 06360-3536
Phone (860) 934-5123

Other practice location 1

206 McKinley Avenue Ext
Norwich, CT 06360-3536
Phone (860) 966-3849

Other identifiers 1

IdentifierTypeStateIssuer
004271425MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000014 CT Part B Supplier - Clinic/Group Practice 6305006396 Receives reassigned benefits from 1 practitioner
Practice locations: Norwich, CT

National Provider Directory

National Provider Directory

Locations

80 Sherman St
Ste F
Norwich, CT 06360
Phone (860) 383-2171

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737158400000",
    "number": "1124391511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MCKINLEY AVENUE EXT",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603536",
            "telephone_number": "860-934-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MAHAN DR",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602426",
            "telephone_number": "860-934-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 McKinley Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063603536",
            "country_code": "US",
            "telephone_number": "860-966-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPEUTIC MATTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A",
        "authorized_official_last_name": "MCAVAY-REDNER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "860-934-5123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004271425",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.