Organization Active NPI

Therapy on the Water (Tow) LLC

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1255139507
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THERAPY ON THE WATER (TOW) LLC
Practice address
201 E Grand Ave
New Haven, CT 06513-4102
Phone
(203) 214-8567
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Cheryl Anne Eberg, LCSWNPI 1477184745
Title
Owner/Social Worker
Phone
(203) 214-8567

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

201 E Grand Ave
New Haven, CT 06513-4102

Mailing address

201 E Grand Ave
New Haven, CT 06513-4102
Phone (203) 214-8567

Other practice location 1

201 E Grand Ave
New Haven, CT 06513-4102
Phone (203) 214-8567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250917002760 CT Part B Supplier - Clinic/Group Practice 6608370226 Receives reassigned benefits from 1 practitioner
Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Locations

309 Front St
New Haven, CT 06513
Phone (203) 214-8567

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1255139507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134102",
            "telephone_number": "203-214-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134102",
            "telephone_number": "203-214-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Grand Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065134102",
            "country_code": "US",
            "telephone_number": "203-214-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAPY ON THE WATER (TOW) LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "EBERG",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "203-214-8567",
        "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 New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.