Soebrown Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOEBROWN WELLNESS

Practice address

56 Poquonock Ave
Windsor, CT 06095-2507

Phone

(860) 752-5669

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Sophia Brown, LCSWNPI 1457781635

Title

Manager

Phone

(860) 752-5669

Specialties & licenses 1

Addresses

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

• Sophia A Brown, LCSW

  • Clinical Social Worker
  • Windsor, CT
  • NPI 1457781635
  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1124705629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ARROWBROOK RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953929",
            "telephone_number": "860-752-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 POQUONOCK AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952507",
            "telephone_number": "860-752-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOEBROWN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-752-5669",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dawn Smith, MS CCC-SLP
• Mariah Smith
• Tynaija Smith
• Wayne Antonio Smith Jr.
• Soebrown Inc.
• Valerie Kristen Soja, OTR/L
• Niza Marie Soto Costello
• Soul Winning Mission Association Inc.
• Soulutions LLC
• Southbay Mental Health

• All providers in Windsor, CT
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.