Organization Active NPI

Saltwater Path Counseling Services, PLLC

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1205773363
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALTWATER PATH COUNSELING SERVICES, PLLC
Practice address
100 Fort Hill Rd Ste 3B
Groton, CT 06340-4312
Phone
(860) 431-2139
Fax
(860) 751-0349
NPI assigned
Apr 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Mrs. Shanna Reels, LCSWNPI 1114372976
Title
Owner
Phone
(401) 924-1052

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 Primary

Addresses

Primary practice location

100 Fort Hill Rd Ste 3B
Groton, CT 06340-4312

Mailing address

282 Noank Ledyard Rd
Mystic, CT 06355-1526
Phone (401) 924-1052

National Provider Directory

National Provider Directory

Locations

100 Fort Hill Rd
Ste 3B
Groton, CT 06340
Phone (860) 431-2139

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1205773363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 NOANK LEDYARD RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551526",
            "telephone_number": "401-924-1052",
            "fax_number": "860-751-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FORT HILL RD STE 3B",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404312",
            "telephone_number": "860-431-2139",
            "fax_number": "860-751-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALTWATER PATH COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "REELS",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-924-1052",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.