Organization Active NPI

Support Throughout the Journey, LLC

  • Clinical Social Worker
  • Monroe, CT
National Provider Identifier
1982132718
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUPPORT THROUGHOUT THE JOURNEY, LLC
Practice address
238 Monroe Tpke Unit B
Monroe, CT 06468-6200
Phone
(203) 414-5393
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Authorized official

Name
Mrs. Theresa A Montelli-Cavoto, LCSWNPI 1356872774
Title
LCSW
Phone
(203) 414-5393

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 Primary

Addresses

Primary practice location

238 Monroe Tpke Unit B
Monroe, CT 06468-6200

Mailing address

775 Chickadee LN
Stratford, CT 06614-2479
Phone (203) 414-5393

Other identifiers 1

IdentifierTypeStateIssuer
008071411MedicaidCT

Other names 1

  • Theresa A. Montelli-Cavoto, LCSW Other name

National Provider Directory

National Provider Directory

Locations

1676 Huntington Tpke
Trumbull, CT 06611

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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495584000000",
    "number": "1982132718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 CHICKADEE LN",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066142479",
            "telephone_number": "203-414-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MONROE TPKE UNIT B",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064686200",
            "telephone_number": "203-414-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT THROUGHOUT THE JOURNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A",
        "authorized_official_last_name": "MONTELLI-CAVOTO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "203-414-5393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008071411",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theresa A. Montelli-Cavoto, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.