Wellness at Home, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004046 Issued in CT

Legal business name

WELLNESS AT HOME, LLC

Practice address

254 Eno Ave
Torrington, CT 06790

Phone

(860) 605-4855

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Pauline A Miller, LCSWNPI 1760712145

Title

Clinical Social Worker

Phone

(860) 605-4855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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

• Pauline A Miller, LCSW

  • Clinical Social Worker
  • New Preston, CT
  • NPI 1760712145
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1982194585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PAULINE MILLER, MSW, LCSW",
            "address_2": "254 ENO AVENUE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-605-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ENO AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "06790",
            "telephone_number": "860-605-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-605-4855",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waypoint Cooperative LLC
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• Cassandra Weik, LCSW
• Allyson Weir, DNP
• Well Being Sanctuary LLC
• Julia Wells, APRN
• Western Connecticut Mental Health Network
• Elizabeth Ann Whalen, M.D.
• Janeen White
• Meredith Whiting

• Clinical Social Worker in Torrington, CT
• Providers in Torrington, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.