Journey to New Beginnings LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JOURNEY TO NEW BEGINNINGS LLC.

Doing business as

Journey to New Beginnings LLC.

Practice address

1224 Mill St Ste 224
East Berlin, CT 06023-1159

Phone

(860) 398-4419

NPI assigned

Jul 15, 2022

Last updated

Jul 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melinda Maria Gladden, LCSWNPI 1720513757

Title

Owner

Phone

(347) 251-5928

Specialties & licenses 1

Addresses

Other names 1

• Journey to New Beginnings LLC. Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melinda Gladden, LCSW

  • Clinical Social Worker
  • Norwich, CT
  • NPI 1720513757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1255065157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 MILL ST STE 224",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-398-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST STE 224",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-398-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO NEW BEGINNINGS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "GLADDEN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-251-5928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journey to New Beginnings LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in East Berlin, CT
• Providers in East Berlin, 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 15, 2022; 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.