Organization Active NPI

The Alluvium Therapy Group Inc

  • Social Worker
  • Sharon, CT
National Provider Identifier
1912341652
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
THE ALLUVIUM THERAPY GROUP INC
Practice address
22 Upper Main St
Suite F
Sharon, CT 06069-2083
Phone
(860) 248-5955
Fax
(860) 364-5445
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Rachel B Berg, LCSWNPI 1447514781
Title
President
Phone
(860) 248-5955

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

22 Upper Main St
Suite F
Sharon, CT 06069-2083

Mailing address

PO Box 462
Lakeville, CT 06039-0462
Phone (781) 280-1699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140403001294 CT Part B Supplier - Clinic/Group Practice 2961634068 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeville, CT; Canaan, CT

National Provider Directory

National Provider Directory

Locations

11A Brook St
Lakeville, CT 06039
Phone (860) 248-5955

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": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1912341652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "060390462",
            "telephone_number": "781-280-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 UPPER MAIN ST",
            "address_2": "SUITE F",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692083",
            "telephone_number": "860-248-5955",
            "fax_number": "860-364-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALLUVIUM THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-248-5955",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.