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CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
NPI 1093428252
Clinic/Center in Westbrook, CT

Active since January 03, 2023
4 GROVE BEACH RD N STE 2D, WESTBROOK, CT 06498(860) 437-4550(860) 661-4262 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Child And Family Agency Of Southeastern Connecticut, Inc. NPPES

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

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI 1093428252), doing business as Community Bridge Clinic, is a healthcare organization registered as a clinic/center in Westbrook, Connecticut and active in the NPI registry since January 2023. The organization lists Lisa Baxter, Cfao, as its authorized official.

NPPES Registry Identity

NPI1093428252
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Location Address4 GROVE BEACH RD N STE 2DWestbrook, CT 06498-1656
Mailing AddressPo Box 120New London, CT 06320-0120 · (860) 437-4550 · Fax (860) 661-4262
Phone(860) 437-4550
Fax(860) 661-4262
Organization SubpartNo
Authorized OfficialLisa BaxterCfao · (860) 443-2896
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
✔ NPI 1093428252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4 GROVE BEACH RD N STE 2D, Westbrook, CT 06498
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Other Names 1

Doing Business AsCommunity Bridge Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0869554

Child And Family Agency Of SE Ct Inc · New London, CT
Expired · Jul 31, 2026
CLIA Number07D0869554
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorJessica Chan Aprn Ppcnp-Bc
Laboratory Phone(860) 437-4550
Laboratory LocationChild And Family Agency Of SE Ct Inc7 Vauxhall St, New London, CT 06320
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

ELLA TIESINGA
Social Worker (Clinical)
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
ALEXANDRA CRISTELLO BA
Community Health Worker
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
STACIA WRIGHT BS
Social Worker (Clinical)
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
CALEIGH MARIE BEECHER MSW
Social Worker (Clinical)
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
ALEXANDRA KOURORIEZ
Social Worker (Clinical)
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
ARIANA KYRA SHIARA HIRSEY BRASMAN MSW
Social Worker (Clinical)
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550
CHIGOZIE AVUGARA MA, MA
Counselor (Professional)
4 GROVE BEACH RD N STE 2D
WESTBROOK, CT 06498
Lower Connecticut River Valley Planning Region (860) 437-4550

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 Child And Family Agency Of Southeastern Connecticut, Inc.'s NPI number?

The NPI number for Child And Family Agency Of Southeastern Connecticut, Inc. is 1093428252. It was assigned to this organization in the NPPES registry on January 3, 2023. The provider is doing business as Community Bridge Clinic.

Where is Child And Family Agency Of Southeastern Connecticut, Inc. located?

Child And Family Agency Of Southeastern Connecticut, Inc. is located at 4 Grove Beach Rd N Ste 2D, Westbrook, CT 06498. The listed phone number is (860) 437-4550.

What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Child And Family Agency Of Southeastern Connecticut, Inc. was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.