Achieve Wellness, LLC
Organization Active NPI Clinical Social Worker · Orange, CT
NPI 1194271999 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1194271999
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 008184 (CT)
- Legal business name
- ACHIEVE WELLNESS, LLC
- Practice address
- 236 Boston Post Rd
Suite 8
Orange, CT 06477-3236 - Phone
- (203) 767-9966
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
Authorized official
- Name
- Ms. Meagan L Scott, LCSW
- Title
- LCSW
- Phone
- (203) 767-9966
Practitioners 5
-
Cluny Gombar, LPC
-
Shannon Mary McGinnis, LCSW
-
Meagan Lynn Scott, LCSW
-
Colleen H Conroy, LCSW
-
Karen O'Brien, L.C.S.W.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210318001852 | CT | Part B Supplier - Clinic/Group Practice | 6709293749 |
Receives reassigned benefits from 3 practitioners Practice locations: Orange, CT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 008184 | CT | Yes |
Addresses
Primary practice location
236 Boston Post Rd
Suite 8
Orange, CT 06477-3236
Mailing address
68 Hall Dr
Orange, CT 06477-2543
Phone (203) 767-9966
Other providers in Orange, CT
- 185 Boston Post Rd Dental Care P.C.
- Above and Beyond Chiropractic Centers LLC
- Lawrence Abrams
- Achieve Improved Motion LLC
- Avery Adams
- Advanced Foot Care Center PC
- Abisola O. Afolalu
- Bayode Ademola Afolalu
- Kathleen Ahern
All providers in Orange, 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 Aug 31, 2016. 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.