NPIMap

Organization Active NPI

Within Reach LLC

  • Clinical Social Worker
  • Waterbury, CT
National Provider Identifier
1871147546
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WITHIN REACH LLC
Practice address
98 Dikeman St
Waterbury, CT 06704-3905
Phone
(203) 510-1002
NPI assigned
Jul 30, 2019
Last updated
Jul 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Mrs. Chantell Paris, LCSWNPI 1144874819
Title
Executive
Phone
(203) 510-1002

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

98 Dikeman St
Waterbury, CT 06704-3905

Mailing address

98 Dikeman St
Waterbury, CT 06704-3905

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191018000504 CT Part B Supplier - Clinic/Group Practice 3678804879 Receives reassigned benefits from 5 practitioners
Practice locations: Bristol, CT

National Provider Directory

National Provider Directory

Locations

225 N Main St
Bristol, CT 06010
Phone (203) 510-1002

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1871147546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DIKEMAN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 DIKEMAN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043905",
            "telephone_number": "203-510-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHIN REACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "PARIS",
        "authorized_official_first_name": "CHANTELL",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "203-510-1002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.