REGENERATIVE PSYCHOTHERAPY PLLC NPI 1003420829

Social Worker (Clinical) in Westport, CT

NPI 1003420829 Organization Social Worker Clinical

About REGENERATIVE PSYCHOTHERAPY PLLC

Regenerative Psychotherapy Pllc is a provider established in Westport, Connecticut specializing in social worker (clinical) . The NPI number of Regenerative Psychotherapy Pllc is 1003420829 and was assigned on August 2020. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated one year ago. Regenerative Psychotherapy Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Merritt Juliano Jd Lcsw (Managing Member)

A clinical social worker like Regenerative Psychotherapy Pllc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

NPI

1003420829

Provider NameREGENERATIVE PSYCHOTHERAPY PLLC
Provider Location Address95 LONG LOTS RD WESTPORT, CT 06880
Provider Mailing Address95 LONG LOTS RD WESTPORT, CT 06880
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-31-2020
Last Update Date08-31-2020


Primary Taxonomy

Taxonomy Code1041C0700X
ClassificationSocial Worker
TypeBehavioral Health & Social Service Providers
SpecializationClinical
Taxonomy DescriptionA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Business Address

REGENERATIVE PSYCHOTHERAPY PLLC
95 LONG LOTS RD
WESTPORT, CT
ZIP 06880
Phone: (917) 224-9598

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Mailing Address

REGENERATIVE PSYCHOTHERAPY PLLC
95 LONG LOTS RD
WESTPORT, CT
ZIP 06880
Phone: (917) 224-9598



Authorized Official

Authorized Official Name MERRITT JULIANO JD LCSW
Authorized Official TitleMANAGING MEMBER
Authorized Official Phone(917) 224-9598

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.