NPIMap

Organization Active NPI

Inner Healing Therapy, LLC

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1225565120
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009436 Issued in CT
Legal business name
INNER HEALING THERAPY, LLC
Practice address
21 Rhodes Rd
Rocky Hill, CT 06067-1856
Phone
(860) 961-5825
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Tiffany Jamon, LCSWNPI 1992150981
Title
Owner
Phone
(860) 910-8156

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 009436 CT Primary

Addresses

Primary practice location

21 Rhodes Rd
Rocky Hill, CT 06067-1856

Mailing address

107 Hopewell Rd
South Glastonbury, CT 06073-2308
Phone (860) 910-8156

National Provider Directory

National Provider Directory

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": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1225565120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HOPEWELL RD",
            "city": "SOUTH GLASTONBURY",
            "state": "CT",
            "postal_code": "060732308",
            "telephone_number": "860-910-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RHODES RD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671856",
            "telephone_number": "860-961-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER HEALING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "JAMON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-910-8156",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.