FULL CIRCLE FAMILY SERVICES AT WHITE BROOK FARM, LLC
NPI 1326587882
Social Worker - Clinical in Danielson, CT

Active since February 16, 2017
181 MAIN ST, DANIELSON, CT 06239(860) 753-6015(877) 552-0608 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2025, Feb 26, 2017, Feb 16, 2017 (3 updates tracked since 2017).

About Full Circle Family Services At White Brook Farm, Llc NPPES

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

FULL CIRCLE FAMILY SERVICES AT WHITE BROOK FARM, LLC (NPI 1326587882) is a healthcare organization registered as a clinical in Danielson, Connecticut and active in the NPI registry since February 2017. The organization maintains 2 additional practice locations and lists Lisa Marie Rivera, Owner, as its authorized official.

NPPES Registry Identity

NPI1326587882
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFULL CIRCLE FAMILY SERVICES AT WHITE BROOK FARM, LLC
Location Address181 MAIN STDanielson, CT 06239-2815
Mailing AddressPo Box 67Danielson, CT 06239-0067 · (860) 753-6015 · Fax (877) 552-0608
Fax(877) 552-0608
Organization SubpartNo
Authorized OfficialLisa Marie RiveraOwner · (860) 753-6015
Enumeration DateFebruary 16, 2017
Last NPPES UpdateMay 19, 20253 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1326587882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 009611
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.
181 MAIN ST, Danielson, CT 06239

Secondary Practice Locations 2

Location 1147B Route 169Woodstock, CT 06281-3327 · Phone (860) 753-6015 · Fax (877) 552-0608
Location 224 Frog Pond RdWoodstock, CT 06281-3009 · Phone (860) 753-6015 · Fax (877) 552-0608

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Full Circle Family Services At White Brook Farm, Llc 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 Full Circle Family Services At White Brook Farm, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1053856989
181 MAIN ST
Danielson, CT 06239
(860) 753-6014
✔ PECOS✔ Accepts MedicareSame 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 Full Circle Family Services At White Brook Farm, LLC's NPI number?

The NPI number for Full Circle Family Services At White Brook Farm, LLC is 1326587882. It was assigned to this organization in the NPPES registry on February 16, 2017.

Where is Full Circle Family Services At White Brook Farm, LLC located?

Full Circle Family Services At White Brook Farm, LLC is located at 181 Main St, Danielson, CT 06239. The listed phone number is (860) 753-6015.

What is Full Circle Family Services At White Brook Farm, LLC's specialty?

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

Is Full Circle Family Services At White Brook Farm, LLC enrolled in Medicare?

Yes. Full Circle Family Services At White Brook Farm, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Full Circle Family Services At White Brook Farm, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Full Circle Family Services At White Brook Farm, LLC. 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.

What insurance does Full Circle Family Services At White Brook Farm, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Full Circle Family Services At White Brook Farm, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Full Circle Family Services At White Brook Farm, LLC was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.