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REVIVE WELLNESS LLC
NPI 1235884073
Social Worker - Clinical in Naugatuck, CT

Active since February 21, 2022
81 WISTERIA DR, NAUGATUCK, CT 06770(203) 501-4624 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Revive Wellness Llc NPPES

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

REVIVE WELLNESS LLC (NPI 1235884073) is a healthcare organization registered as a clinical in Naugatuck, Connecticut and active in the NPI registry since February 2022. The organization lists Danielle Moraes, Director, as its authorized official.

NPPES Registry Identity

NPI1235884073
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREVIVE WELLNESS LLC
Location Address81 WISTERIA DRNaugatuck, CT 06770-5235
Mailing Address81 Wisteria DrNaugatuck, CT 06770-5235 · (203) 501-4624
Phone(203) 501-4624
Organization SubpartNo
Authorized OfficialDanielle MoraesDirector · (203) 501-4624
Enumeration DateFebruary 21, 2022
NPPES CertifiedFebruary 21, 2022
✔ NPI 1235884073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
81 WISTERIA DR, Naugatuck, CT 06770
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Revive Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ellen Szumigala, LPC
Mental Health Counselor
NPI 1306097340
4 MIDLAND RD
Waterbury, CT 06705
(203) 755-8874
✔ PECOS✔ Accepts Medicare5.3 mi
Jacqueline Murillo, DNP- APRN
Nurse Practitioner
NPI 1962179275
456 THREE MILE HILL RD
Middlebury, CT 06762
(203) 850-0758
✔ PECOS6.9 mi
Kami Davis
Clinical Social Worker
NPI 1902334402
74 EAST ST
Plainville, CT 06062
(908) 338-1027
✔ PECOS✔ Accepts Medicare16 mi
Alyssa Kniering, LPC
Mental Health Counselor
NPI 1720588114
1227 FARMINGTON AVE
Berlin, CT 06037
(860) 888-2286
✔ PECOS✔ Accepts Medicare18 mi
Ashley Dizney
Nurse Practitioner
NPI 1649689415
520 SAYBROOK RD STE 105
Middletown, CT 06457
(203) 314-0179
✔ PECOS✔ Accepts Medicare22 mi

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 Revive Wellness LLC's NPI number?

The NPI number for Revive Wellness LLC is 1235884073. It was assigned to this organization in the NPPES registry on February 21, 2022.

Where is Revive Wellness LLC located?

Revive Wellness LLC is located at 81 Wisteria Dr, Naugatuck, CT 06770. The listed phone number is (203) 501-4624.

What is Revive Wellness LLC's specialty?

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

Is Revive Wellness LLC enrolled in Medicare?

Yes. Revive Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Revive Wellness LLC, in Clinical Social Worker, Mental Health Counselor and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revive Wellness LLC was last updated on February 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.