Pawsitive Therapy, LLC
Organization Active NPI Clinical Social Worker · Haddam, CT
NPI 1669940920 · NPPES record last updated Nov 5, 2018
Key facts
- NPI
- 1669940920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- PAWSITIVE THERAPY, LLC
- Practice address
- 5 Forest Ridge Rd.
Haddam, CT 06438 - Phone
- (860) 707-5352
- NPI assigned
- Nov 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Lauren Weihl Crowley, LCSW
- Title
- Social Worker
- Phone
- (860) 707-5352
Practitioners 3
-
Lauren Crowley, MSW
-
Diane Allen, LMSW
-
Paula Zepke, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250505000445 | CT | Part B Supplier - Clinic/Group Practice | 7911424965 |
Receives reassigned benefits from 1 practitioner Practice locations: Middletown, CT |
National Provider Directory
Locations
769 Newfield St
Ste 5
Middletown, CT 06457
Phone (860) 358-0948
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
5 Forest Ridge Rd.
Haddam, CT 06438
Mailing address
5 Forest Ridge Rd.
Haddam, CT 06438
Phone (860) 707-5352
Other providers in Haddam, CT
- Morgan Renee Dalton
- Nara C Harrison
- Susan G. McColl
- Carolyn C. Murphy
- Paramount Operations BBD LLC
- River Valley Speech Therapy, LLC.
- Leigh Rowan-Kelly
- James E Scory
- Valerie Anne Williams
All providers in Haddam, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.