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HEADSPACE LLC
NPI 1083229355
Social Worker - Clinical in Wethersfield, CT

Active since September 13, 2020
433 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 837-0300(860) 540-1069 Get Directions Write a Review

NPPES record last updated: September 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Headspace Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEADSPACE LLC (NPI 1083229355) is a healthcare organization registered as a clinical in Wethersfield, Connecticut and active in the NPI registry since September 2020. The organization lists Samantha Burgos, Owner, as its authorized official.

NPPES Registry Identity

NPI1083229355
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHEADSPACE LLC
Location Address433 SILAS DEANE HWYWethersfield, CT 06109-2123
Mailing Address433 Silas Deane HwyWethersfield, CT 06109-2123 · (860) 837-0300 · Fax (860) 540-1069
Phone(860) 837-0300
Fax(860) 540-1069
Organization SubpartNo
Authorized OfficialSamantha BurgosOwner · (860) 837-0300
Enumeration DateSeptember 13, 2020
NPPES CertifiedSeptember 13, 2020
✔ NPI 1083229355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A 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.
433 SILAS DEANE HWY, Wethersfield, CT 06109
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVETTE BETANCOURT LPC
Marriage & Family Therapist
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 881-9856
PSYCHOLOGICAL HEALTH & DEVELOPMENT ASSOCIATES, LLC
Psychologist
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 338-5911
ALEXANDRA DEMOSTHENE LPC
Counselor (Professional)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 497-5629
SAMANTHA BURGOS LCSW, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 837-0300
KRISTIN ELIEEN MORRISON LMSW
Social Worker
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 837-0030
BARTOSZ WICHOWSKI LPC-A
Counselor (Mental Health)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (646) 470-4439
MRS. AUDRA MARY BATTISTINI LMSW
Social Worker
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 837-0030
NISHA TYLER
Counselor (Professional)
433 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 837-0030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Headspace LLC's NPI number?

The NPI number for Headspace LLC is 1083229355. It was assigned to this organization in the NPPES registry on September 13, 2020.

Where is Headspace LLC located?

Headspace LLC is located at 433 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 837-0300.

What is Headspace LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Headspace LLC was last updated on September 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.