Sparrows Worth Wellness Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SPARROWS WORTH WELLNESS SERVICES

Practice address

17 Hickory LN
Waterford, CT 06385-4233

Phone

(860) 334-6411

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Chanel Krauth, LCSWNPI 1609335397

Title

Owner

Phone

(860) 334-6411

Specialties & licenses 1

Addresses

Other names 1

• Sparrow's Worth Wellness Services Other name

Practitioners 1

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

• Chanel Krauth, LCSW

  • Clinical Social Worker
  • Norwich, CT
  • NPI 1609335397
  NPD Authorized official

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1386214864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HICKORY LN",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854233",
            "telephone_number": "860-334-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HICKORY LN",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854233",
            "telephone_number": "860-334-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROWS WORTH WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "KRAUTH",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-334-6411",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow's Worth Wellness Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Waterford, CT
• Providers in Waterford, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.