New Hope Therapeutic Services LLC
Organization Active NPI Clinical Social Worker · Roxbury, CT
NPI 1972256006 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1972256006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- NEW HOPE THERAPEUTIC SERVICES LLC
- Practice address
- 26 North St
Roxbury, CT 06783-9992 - Phone
- (781) 534-4795
- NPI assigned
- Jan 29, 2022
- Organization subpart
- No
Authorized official
- Name
- Victoria Anne Croswell
- Title
- Owner
- Phone
- (781) 534-4795
Practitioners 3
-
Miranda Lindsay Luis, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240515001258 | CT | Part B Supplier - Clinic/Group Practice | 8123469608 |
Receives reassigned benefits from 3 practitioners Practice locations: Burlington, CT; Roxbury, CT |
| O20250516001772 | MA | Part B Supplier - Clinic/Group Practice | 8123469608 |
Receives reassigned benefits from 1 practitioner Practice locations: Egremont, MA |
National Provider Directory
Locations
258 Spielman Hwy
Ste 9
Burlington, CT 06013
Phone (203) 794-4107
143 West St
Ste V
New Milford, CT 06776
Phone (203) 212-9390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | Yes | ||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
26 North St
Roxbury, CT 06783-9992
Mailing address
26 North St # 83
Roxbury, CT 06783-9992
Phone (203) 794-4721
Other providers in Roxbury, CT
- Alice Wood Griffin
- Lawrence Jennings
- Theresa Krebs
- Miranda Lindsay Luis
- Joseph Mancinone
- Roxbury Ambulance Association, Inc
- Peter Marc Schoenholtz
- Arietta Slade
- Mark Douglas Stracks
All providers in Roxbury, 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 Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.