Mountain Laurel Wellness LLC – Clinical Social Worker

Key facts

NPI: 1740005693
Entity type: Organization (NPI type 2)
Primary specialty: Clinical Social Worker 1041C0700X
Legal business name: MOUNTAIN LAUREL WELLNESS LLC
Practice address: 441 Oxford Rd # 2D
Oxford, CT 06478-1235
Phone: (203) 521-8834
NPI assigned: Nov 16, 2024
Organization subpart: No

Authorized official

Name: Colleen Armitage NPI 1366084121
Title: Owner
Phone: (203) 521-8834

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

Colleen Armitage, LCSW Clinical Social Worker · Oxford, CT · NPI 1366084121

NPD Authorized official CLINICAL

National Provider Directory

Locations

441 Oxford Rd
Ste 2D
Oxford, CT 06478
Phone (203) 521-8834

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker Group: 193200000X MULTI-SPECIALTY GROUP	1041C0700X			Yes

Addresses

Primary practice location

441 Oxford Rd # 2D
Oxford, CT 06478-1235

Mailing address

441 Oxford Rd # 2D
Oxford, CT 06478-1235

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2024.

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1740005693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 OXFORD RD # 2D",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 OXFORD RD # 2D",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781235",
            "telephone_number": "203-521-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAUREL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "ARMITAGE",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-521-8834"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, CT

All providers in Oxford, 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 16, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.