Concussed. PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONCUSSED. PLLC

Practice address

14 Stoney Brook Dr
Waterford, CT 06385-1518

Phone

(860) 322-6302

Fax

(860) 854-2204

NPI assigned

Mar 18, 2026

Organization subpart

No

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

Authorized official

Name

Caitlin Ward, LCSWNPI 1750236782

Title

Licensed Clinical Social Worker

Phone

(860) 322-6302

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Caitlin Alice Ward, LCSW

  • Clinical Social Worker
  • Waterford, CT
  • NPI 1750236782

  CO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1235087065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOSTON POST RD # 1041",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752142",
            "telephone_number": "860-322-6302",
            "fax_number": "860-854-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STONEY BROOK DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851518",
            "telephone_number": "860-322-6302",
            "fax_number": "860-854-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCUSSED. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-322-6302",
        "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": []
}

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• Clinical Social Worker in Waterford, CT
• Providers in Waterford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.