Perinatal Support & Beyond LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PERINATAL SUPPORT & BEYOND LLC

Practice address

701 Cottage Grove Rd Ste 235
Bloomfield, CT 06002-3080

Phone

(860) 245-8486

NPI assigned

Mar 29, 2024

Organization subpart

No

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

Authorized official

Name

Johanna Shields, LCSWNPI 1104571306

Title

Owner

Phone

(860) 245-8486

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Johanna Shields, LCSW

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1104571306
  NPD Authorized official

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1699526426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HOSKINS RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021135",
            "telephone_number": "860-245-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE 235",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-245-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINATAL SUPPORT & BEYOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-245-8486",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy E Patel, M.D.
• Marcia Elaine Peck
• Pediatric Partners, LLC
• Jennifer W Pennoyer, M.D.
• William P Pennoyer, M.D.
• Edith Perlwitz
• Chanae Perry Tanksley, LMSW
• Sydney E Perry, PHARMD
• Peter C. Donshik, M.D., P.C.
• Peter Donshik MD

• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, 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 29, 2024; 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.