Awaken the Power Therapy, LLC
Organization Active NPI Clinical Social Worker · Milford, CT
NPI 1194129239 · NPPES record last updated Dec 23, 2019
Key facts
- NPI
- 1194129239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 8711 (CT)
- Legal business name
- AWAKEN THE POWER THERAPY, LLC
- Practice address
- 57 Plains Rd Unit 1C
Milford, CT 06461-2573 - Phone
- (203) 693-1050
- Fax
- (203) 306-3388
- NPI assigned
- Oct 17, 2014
- Organization subpart
- No
Authorized official
- Name
- Monique E West
- Title
- Director
- Phone
- (203) 693-1050
Practitioners 3
-
Monique E West, MSW,BA,LCSW
-
Debra W Hanratty, LCSW,BSW,MSW
-
Katherine Walworth, MA,BA,LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151222001556 | CT | Part B Supplier - Clinic/Group Practice | 4688975337 |
Receives reassigned benefits from 1 practitioner Practice locations: Milford, CT |
National Provider Directory
Locations
58 River St
Ste 10
Milford, CT 06460
Phone (203) 693-1050
57 Plains Rd
Ste 11
Milford, CT 06461
Phone (203) 693-1050
57 Plains Rd
Unit 1C
Milford, CT 06461
Phone (203) 494-6565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 2524 | CT | |
| Professional Counselor |
101YP2500X | 2867 | CT | |
| Clinical Psychologist |
103TC0700X | 002950 | CT | |
| Clinical Social Worker |
1041C0700X | 8711 | CT | Yes |
| Marriage & Family Therapist |
106H00000X | 1813 | CT |
Addresses
Primary practice location
57 Plains Rd Unit 1C
Milford, CT 06461-2573
Mailing address
57 Plains Rd Unit 1C
Milford, CT 06461-2573
Phone (203) 693-1050
Other providers in Milford, CT
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- Authentic Smiles LLC
- Avidcare Therapy LLC
- Awais Malik MD Family Medicine, LLC
- B Your Best Mental Wellness, LLC
- Darron Adam Bacal
- Rebecca L Bader
- Ju Young Bae
- Margret Zajac Baker
All providers in Milford, 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 Dec 23, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.