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WEAVE YOUR LIFE LLC
NPI 1104149293
Social Worker - Clinical in Southington, CT

Active since March 04, 2010
963 QUEEN ST, SUITE C, SOUTHINGTON, CT 06489(860) 819-8570 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Weave Your Life Llc NPPES

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

WEAVE YOUR LIFE LLC (NPI 1104149293) is a healthcare organization registered as a clinical in Southington, Connecticut and active in the NPI registry since March 2010. The organization lists Audrey L Bennett, Manager, as its authorized official.

NPPES Registry Identity

NPI1104149293
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameWEAVE YOUR LIFE LLC
Location Address963 QUEEN ST, SUITE CSouthington, CT 06489-1282
Mailing Address963 Queen St, Suite CSouthington, CT 06489-1282 · (860) 819-8570
Phone(860) 819-8570
Organization SubpartNo
Authorized OfficialAudrey L BennettManager · (860) 819-8570
Enumeration DateMarch 4, 2010
Last NPPES UpdateAugust 13, 2012
✔ NPI 1104149293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 006194
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 006194 (CT), 000729 (CT)
963 QUEEN ST, Southington, CT 06489
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Other Identifiers 1

Medicaid008040743CT

Other Providers at the Same Location NPPES 2

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

ERICA MARCHETTI
Counselor
963 QUEEN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 276-5843
DARA HOLCOMB
Counselor (Professional)
963 QUEEN ST, SUITE C
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 506-5424

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 Weave Your Life LLC's NPI number?

The NPI number for Weave Your Life LLC is 1104149293. It was assigned to this organization in the NPPES registry on March 4, 2010.

Where is Weave Your Life LLC located?

Weave Your Life LLC is located at 963 Queen St Suite C, Southington, CT 06489. The listed phone number is (860) 819-8570.

What is Weave Your Life 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 Weave Your Life LLC was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.