Frontline Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FRONTLINE WELLNESS LLC

Practice address

83 Halls Rd Ste 202
Old Lyme, CT 06371-4409

Phone

(860) 373-7024

NPI assigned

Jun 2, 2026

Organization subpart

No

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

Authorized official

Name

Madison BodleyNPI 1174482186

Title

Business Owneer

Phone

(860) 597-4553

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madison Bodley

  • Clinical Social Worker
  • Plainfield, CT
  • NPI 1174482186
  NPD Authorized official

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1376475350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HALLS RD STE 202",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063714409",
            "telephone_number": "860-373-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HALLS RD STE 202",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063714409",
            "telephone_number": "860-373-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BODLEY",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "BUSINESS OWNEER",
        "authorized_official_telephone_number": "860-597-4553"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Fallon, NURSE PRACTITIONER
• Deborah Feigenbaum, MSW LCSW
• Cristan Filippi
• Brett J.M. Flynn, EMT-P , ATC, CSCS
• Karl R. Friedmann, M.D.
• Shragit Glazman, MD
• Jeffrey Stuart Goldblatt, M.D.
• Karl M Goldkamp, ND
• Mark Gombotz
• Jay Allan Graves, M.D.

• Clinical Social Worker in Old Lyme, CT
• Providers in Old Lyme, 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 Jun 11, 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.