Adult Mind and Body Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ADULT MIND AND BODY WELLNESS, LLC

Practice address

18 Hollow Oak LN
Stamford, CT 06905

Phone

(203) 918-5246

NPI assigned

Mar 3, 2014

Last updated

Jul 19, 2019By 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

Judy Stoddard, LCSW

Title

Owner

Phone

(203) 918-5246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1609291400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HOLLOW OAK LN",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069052309",
            "telephone_number": "203-918-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HOLLOW OAK LN",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06905",
            "telephone_number": "203-918-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MIND AND BODY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "STODDARD",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-918-5246",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrews Adu Adade, M.D. , M.P.H.
• Christopher Adams
• Jane A Adams, LCSW
• Seun Adeyemi-Jones, M.D.
• Oluwaseyi Adeyinka, MD, MPH
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• Clinical Social Worker in Stamford, CT
• Providers in Stamford, 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 Jul 19, 2019; 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.