Enchanted Therapies, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005732 Issued in CT

Legal business name

ENCHANTED THERAPIES, LLC

Practice address

112 Summit St
Plantsville, CT 06479-1125

Phone

(860) 919-7840

NPI assigned

Mar 1, 2014

Last updated

Mar 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen M Picone, LCSW

Title

Owner

Phone

(860) 919-7840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393632000000",
    "number": "1376968206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SUMMIT ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791125",
            "telephone_number": "860-919-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SUMMIT ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791125",
            "telephone_number": "860-919-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCHANTED THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-01",
        "last_updated": "2014-03-01",
        "status": "A",
        "authorized_official_last_name": "PICONE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-919-7840",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Plantsville, CT
• Providers in Plantsville, 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 Mar 1, 2014; 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.