Best Practice Psychotherapy LLC
Organization Active NPI Clinical Social Worker · Woodbridge, CT
NPI 1336760123 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1336760123
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BEST PRACTICE PSYCHOTHERAPY LLC
- Practice address
- 30 Hazel Ter Ste 10
Woodbridge, CT 06525-2240 - Phone
- (860) 553-9957
- NPI assigned
- May 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Charmaine Samuda, LCSW
- Title
- Owner/Provider
- Phone
- (203) 444-9369
Practitioners 5
-
Charmaine Samuda, LCSW
-
Esther Duncan, LCSW
-
Kaydian N Harrison, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230817000048 | CT | Part B Supplier - Clinic/Group Practice | 4183086572 |
Receives reassigned benefits from 3 practitioners Practice locations: Woodbridge, CT |
National Provider Directory
Locations
30 Hazel Ter
Ste 10
Woodbridge, CT 06525
Phone (203) 553-9957
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
30 Hazel Ter Ste 10
Woodbridge, CT 06525-2240
Mailing address
30 Hazel Ter Ste 10
Woodbridge, CT 06525-2240
Phone (203) 444-9369
Other providers in Woodbridge, CT
- Leonard Bell
- Benchmark Assisted Living LLC
- Andrea Benjamin
- Mark Berman
- Best Choice Behavioral Health, LLC
- Better Homecare Agency LLC
- Lauren Nicole Blanck
- Sandra P Boltax-Stern
- Kyle Branday
- Breakthrough Therapeutic Services
All providers in Woodbridge, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.