Mindful Awareness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL AWARENESS, PLLC

Practice address

60 Elaine Dr
Ansonia, CT 06401-3007

Phone

(203) 954-9367

NPI assigned

Jan 3, 2023

Organization subpart

No

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

Authorized official

Name

Karen Bermudez, LCSW

Title

Owner

Phone

(203) 954-9367

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

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.

• Karen Fernandez, LCSW

  • Social Worker
  • New Haven, CT
  • NPI 1457708646
  NPD

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1316650534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ELAINE DR",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064013007",
            "telephone_number": "203-954-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ELAINE DR",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064013007",
            "telephone_number": "203-954-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL AWARENESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-954-9367",
        "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": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marjorie Merzier, MSW
• Doreen Geralyn Metzler, LPC, LMFT
• Amy J Miklos, PA-C
• David D Millen, DMD
• Elena Miller, LMSW
• David Moll, M.D.
• Stephen J. Moses, M.D.
• Katherine Ellen Banker Murphy, PHARMD
• Raye Jethro Mutcherson II, PHARMD
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)

• Clinical Social Worker in Ansonia, CT
• Providers in Ansonia, 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 Jan 3, 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.