NPIMap

Organization Active NPI

Child and Family Agency of Southeastern Connecticut, Inc.

Doing business as West Vine Elementary

  • Clinic/Center
  • Pawcatuck, CT
National Provider Identifier
1346015047
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Doing business as
West Vine Elementary
Practice address
17 W Vine St
Pawcatuck, CT 06379-1521
Phone
(860) 437-4550
Fax
(860) 661-4262
NPI assigned
Nov 22, 2023
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Lisa Baxter
Title
Cfo
Phone
(860) 443-2896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

17 W Vine St
Pawcatuck, CT 06379-1521

Mailing address

PO Box 120
New London, CT 06320-0120
Phone (860) 437-4550

Other names 1

  • West Vine Elementary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Community Bridge Clinic37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

21 W Vine St
Pawcatuck, CT 06379

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1346015047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063200120",
            "telephone_number": "860-437-4550",
            "fax_number": "860-661-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W VINE ST",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063791521",
            "telephone_number": "860-437-4550",
            "fax_number": "860-661-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "860-443-2896"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Vine Elementary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawcatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.