Organization Active NPI

The Healing Plug Psychotherapy & Wellness Services

  • Clinical Social Worker
  • Bloomfield, CT
National Provider Identifier
1265201149
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE HEALING PLUG PSYCHOTHERAPY & WELLNESS SERVICES
Practice address
34 Jerome Ave Ste 320
Bloomfield, CT 06002-2463
Phone
(860) 474-3709
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Ms. T'Keyah Dailey, MSW, LCSW
Title
Therapist
Phone
(860) 474-3709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

34 Jerome Ave Ste 320
Bloomfield, CT 06002-2463

Mailing address

34 Jerome Ave Ste 320
Bloomfield, CT 06002-2463
Phone (860) 474-3709

Other names 1

  • The Healing Plug Other name

National Provider Directory

National Provider Directory

Locations

34 Jerome Ave
Ste 320
Bloomfield, CT 06002
Phone (860) 474-3709

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1265201149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 320",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-474-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 320",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-474-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING PLUG PSYCHOTHERAPY & WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "T'KEYAH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "860-474-3709",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Plug",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.