Active NPI
Restore Health and Wellness, LLC
- Clinical Social Worker
- Fairfield, CT
National Provider Identifier
1619643533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RESTORE HEALTH AND WELLNESS, LLC
- Practice address
- 222 Post Rd FL 2
Fairfield, CT 06824-6245 - Phone
- (203) 612-0944
- NPI assigned
- Aug 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madison Sparago, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (203) 215-4170
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
222 Post Rd FL 2
Fairfield, CT 06824-6245
Mailing address
222 Post Rd FL 2
Fairfield, CT 06824-6245
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Madison, CT
- NPI 1891397022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629331200000",
"number": "1619643533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 POST RD FL 2",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 POST RD FL 2",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246245",
"telephone_number": "203-612-0944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORE HEALTH AND WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A",
"authorized_official_last_name": "SPARAGO",
"authorized_official_first_name": "MADISON",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "203-215-4170",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.