GLOW UP THERAPY
NPI 1265090500
Social Worker - Clinical in Mystic, CT

Active since June 02, 2019

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 2, 2019 (2 updates tracked since 2019).

About Glow Up Therapy NPPES

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

GLOW UP THERAPY (NPI 1265090500) is a healthcare organization registered as a clinical in Mystic, Connecticut and active in the NPI registry since June 2019. The organization lists Amanda Jelden, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1265090500
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameGLOW UP THERAPY
Location Address11 MAIN STMystic, CT 06355-3654
Mailing Address11 Main StMystic, CT 06355-3654
Organization SubpartNo
Authorized OfficialAmanda JeldenCo-owner · (860) 772-4424
Enumeration DateJune 2, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1265090500 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.
11 MAIN ST, Mystic, CT 06355

Other Identifiers 1

Medicaid008069342CT

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 13

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

Physical Therapist (Orthopedic)
11 MAIN ST
MYSTIC, CT 06355
Psychiatry & Neurology (Psychiatry)
11 MAIN ST
MYSTIC, CT 06355
Social Worker (Clinical)
11 MAIN ST, 6
MYSTIC, CT 06355
Counselor (Professional)
11 MAIN ST
MYSTIC, CT 06355
Counselor (Professional)
11 MAIN ST, SUITE 10-11
MYSTIC, CT 06355
Social Worker (Clinical)
11 MAIN ST
MYSTIC, CT 06355
Internal Medicine
11 MAIN ST
MYSTIC, CT 06355
Community/Behavioral Health
11 MAIN ST
MYSTIC, CT 06355

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 Glow Up Therapy's NPI number?

The NPI number for Glow Up Therapy is 1265090500. It was assigned to this organization in the NPPES registry on June 2, 2019.

Where is Glow Up Therapy located?

Glow Up Therapy is located at 11 Main St, Mystic, CT 06355. The listed phone number is (860) 772-4424.

What is Glow Up Therapy'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 Glow Up Therapy was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.