1. Home
  2. Directory
  3. Connecticut
  4. Waterford
  5. Social Worker
  6. NPI Profile

CONCUSSED. PLLC
NPI 1235087065
Social Worker - Clinical in Waterford, CT

Active since March 18, 2026
14 STONEY BROOK DR, WATERFORD, CT 06385(860) 322-6302(860) 854-2204 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, May 8, 2026, Mar 18, 2026 (3 updates tracked since 2026).

About Concussed. Pllc NPPES

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

CONCUSSED. PLLC (NPI 1235087065) is a healthcare organization registered as a clinical in Waterford, Connecticut and active in the NPI registry since March 2026. The organization lists Caitlin Ward, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1235087065
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCONCUSSED. PLLC
Location Address14 STONEY BROOK DRWaterford, CT 06385-1518
Mailing Address1000 Boston Post Rd # 1041Old Saybrook, CT 06475-2142 · (860) 322-6302 · Fax (860) 854-2204
Phone(860) 322-6302
Fax(860) 854-2204
Organization SubpartNo
Authorized OfficialCaitlin WardLicensed Clinical Social Worker · (860) 322-6302
Enumeration DateMarch 18, 2026
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1235087065 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.
14 STONEY BROOK DR, Waterford, CT 06385
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Concussed. Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Concussed. PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Caitlin Ward, LCSW
Clinical Social Worker
NPI 1750236782
14 STONEY BROOK DR
Waterford, CT 06385
(860) 322-6302
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Concussed. PLLC's NPI number?

The NPI number for Concussed. PLLC is 1235087065. It was assigned to this organization in the NPPES registry on March 18, 2026.

Where is Concussed. PLLC located?

Concussed. PLLC is located at 14 Stoney Brook Dr, Waterford, CT 06385. The listed phone number is (860) 322-6302.

What is Concussed. PLLC's specialty?

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

Is Concussed. PLLC enrolled in Medicare?

Yes. Concussed. PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Concussed. PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Concussed. PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Concussed. PLLC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.