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PHOENIX RISING WELLNESS LLC
NPI 1114772456
Social Worker - Clinical in Newtown, CT

Active since April 19, 2024
153 S MAIN ST, NEWTOWN, CT 06470(203) 556-2030 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phoenix Rising Wellness Llc NPPES

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

PHOENIX RISING WELLNESS LLC (NPI 1114772456) is a healthcare organization registered as a clinical in Newtown, Connecticut and active in the NPI registry since April 2024. The organization lists Alyssa Kondor, Owner, as its authorized official.

NPPES Registry Identity

NPI1114772456
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX RISING WELLNESS LLC
Location Address153 S MAIN STNewtown, CT 06470-2791
Mailing Address29 Lucius CtMilford, CT 06461-3093 · (203) 556-2030
Phone(203) 556-2030
Organization SubpartNo
Authorized OfficialAlyssa KondorOwner · (203) 556-2030
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1114772456 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.
153 S MAIN ST, Newtown, CT 06470
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Group Practice 1

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

Other Providers at the Same Location NPPES 14

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

NEWTOWN COMPREHENSIVE FOOT CARE LLC
Podiatrist (Foot & Ankle Surgery)
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 426-7060
DR. ALEJANDRO EDUARDO ISGUT MD
Family Medicine
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 270-1077
DONALD G GORDON MD LLC
Internal Medicine (Gastroenterology)
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 270-7592
NORTHEAST RADIOLOGY OF CONNECTICUT, LLC
Radiology (Diagnostic Radiology)
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (845) 278-6200
COMMUNITY HEALTH ASSOCIATES, LLC
Nurse Practitioner (Family)
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 270-1077
CANDACE MAISEL LCSW
Social Worker (Clinical)
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (475) 323-2200
ALEJANDRO E ISGUT MD LLC
Pediatrics
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 270-1077
BEAYOUTIFUL HEALTH AND WELLNESS CENTER LLC
Nurse Practitioner (Family)
153 S MAIN ST
NEWTOWN, CT 06470
Western Connecticut Planning Region (203) 408-2420

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 Phoenix Rising Wellness LLC's NPI number?

The NPI number for Phoenix Rising Wellness LLC is 1114772456. It was assigned to this organization in the NPPES registry on April 19, 2024.

Where is Phoenix Rising Wellness LLC located?

Phoenix Rising Wellness LLC is located at 153 S Main St, Newtown, CT 06470. The listed phone number is (203) 556-2030.

What is Phoenix Rising Wellness 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 Phoenix Rising Wellness LLC was last updated on April 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.