Active NPI
Therapeutic Matters LLC
- Clinical Social Worker
- Norwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 006491
- 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, 2025
- 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
- Mrs. Kerri A McAvay-Redner, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004271425 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Norwich, CT
- NPI 1447459698
-
- Podiatrist
- Pawcatuck, CT
- NPI 1457317190
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
- The William W Backus Hospital
- The William W Backus Hospital
- The William W Backus Hospital
- The William W Backus Hospital (Backus Retail Pharmacy)
- Mirline Theodore, RDH
- Therapy Ward, LLC
- Susan M Thibeault, CRNA, APRN
- Cathy Lynn Thibodeau, O.T.R./L.
- Thomas H. Lesnik, MD,PC
- Janankia Andrea Thomas, MS, LPC
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.