Organization Active NPI

Stepping Stones Holistic Psychotherapy, LLC

  • Clinical Social Worker
  • Rocky Hill, CT
National Provider Identifier
1811353832
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006243 Issued in CT
Legal business name
STEPPING STONES HOLISTIC PSYCHOTHERAPY, LLC
Practice address
35 Cold Spring Rd Ste 514
Rocky Hill, CT 06067-3165
Phone
(860) 249-9861
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Cari Michele Surace, LCSWNPI 1720286263
Title
Licensed Clinical Social Worker
Phone
(860) 249-9861

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 006243 CT Primary

Addresses

Primary practice location

35 Cold Spring Rd Ste 514
Rocky Hill, CT 06067-3165

Mailing address

35 Cold Spring Rd Ste 514
Rocky Hill, CT 06067-3165
Phone (860) 249-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170322002545 CT Part B Supplier - Clinic/Group Practice 0446535066 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky Hill, CT

National Provider Directory

National Provider Directory

Locations

35 Cold Spring Rd
Bldg 500
Rocky Hill, CT 06067
Phone (860) 249-9861

350 Silas Deane Hwy
Ste 303
Wethersfield, CT 06109
Phone (860) 249-9861

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1811353832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD STE 514",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673165",
            "telephone_number": "860-249-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD STE 514",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673165",
            "telephone_number": "860-249-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONES HOLISTIC PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "SURACE",
        "authorized_official_first_name": "CARI",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-249-9861",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.