WELLMORE, INC.-THERAPEUTIC SHELTER
NPI 1336407915
Clinic/Center - Rehabilitation, Substance Use Disorder in Waterbury, CT

Active since May 02, 2012CLIA 07D2111489 · Waiver
142 GRIGGS ST, WATERBURY, CT 06704(203) 574-1419(203) 578-4180 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellmore, Inc.-therapeutic Shelter NPPES

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

WELLMORE, INC.-THERAPEUTIC SHELTER (NPI 1336407915) is a healthcare organization registered as a rehabilitation, substance use disorder in Waterbury, Connecticut and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Gary Steck, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1336407915
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameWELLMORE, INC
Location Address142 GRIGGS STWaterbury, CT 06704-3110
Mailing Address141 E Main StWaterbury, CT 06702-1701 · (203) 574-9000 · Fax (203) 574-9006
Fax(203) 578-4180
Organization SubpartNo
Authorized OfficialGary SteckChief Executive Officer · (203) 574-9000
Enumeration DateMay 2, 2012
Last NPPES UpdateJune 11, 2014
✔ NPI 1336407915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
142 GRIGGS ST, Waterbury, CT 06704

Other Names 1

Doing Business AsWellmore, Inc.-therapeutic Shelter

Other Identifiers 1

Medicaid004039202CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellmore, Inc.-therapeutic Shelter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Wellmore, Inc.-Therapeutic Shelter, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 16 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker9
Mental Health Counselor5
Nurse Practitioner2
Addiction Medicine1
Psychiatry1

Clinicians, nearest first (18)

Mental Health Counselor
NPI 1982431128
142 GRIGGS ST
Waterbury, CT 06704
(786) 897-9855
✔ PECOSSame address
Clinical Social Worker
NPI 1902524606
79 BEACON ST
Waterbury, CT 06704
(203) 574-9000
✔ PECOS0.6 mi
Clinical Social Worker
NPI 1902119589
79 BEACON ST
Waterbury, CT 06704
(203) 574-9000
✔ PECOS0.6 mi
Addiction Medicine
NPI 1285927418
402 E MAIN ST
Waterbury, CT 06702
(203) 755-1143
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1528921665
402 E MAIN ST
Waterbury, CT 06702
(203) 755-1143
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1578819884
141 E MAIN ST WATERBURY CLINICIAL SERVICES 2ND FLOOR
Waterbury, CT 06702
(855) 935-5667
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1043647373
141 E MAIN ST 3RD FLOOR-HOME BASED SERVICES
Waterbury, CT 06702
(203) 574-9000
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1932618568
141 E MAIN ST
Waterbury, CT 06702
(203) 574-9000
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1487680880
402 E MAIN ST WATERBURY OP ADULT SERVICES
Waterbury, CT 06702
(203) 755-1143
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1326597485
402 E MAIN ST
Waterbury, CT 06702
(203) 574-9000
✔ PECOS1.2 mi
Clinical Social Worker
NPI 1669709135
402 E MAIN ST WATERBURY OP ADULT SERVICES
Waterbury, CT 06702
(203) 755-1143
✔ PECOS1.2 mi
Mental Health Counselor
NPI 1538419965
402 E MAIN ST
Waterbury, CT 06702
(203) 755-1143
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1114313947
402 E MAIN ST
Waterbury, CT 06702
(203) 574-9000
✔ PECOS1.2 mi
Mental Health Counselor
NPI 1891060026
402 E MAIN ST WATERBURY OP ADULT SERVICES
Waterbury, CT 06702
(203) 575-0466
✔ PECOS1.2 mi
Psychiatry
NPI 1154359313
402 E MAIN ST WATERBURY ADULT SERVICES OP
Waterbury, CT 06702
(203) 756-7287
✔ PECOS✔ Accepts Medicare1.2 mi
Clinical Social Worker
NPI 1740686724
51 DEPOT ST SUITE 202 UNIT D
Watertown, CT 06795
(203) 465-2869
✔ PECOS5.3 mi
Mental Health Counselor
NPI 1629222187
233 MAIN ST
New Britain, CT 06051
(203) 596-9724
✔ PECOS15 mi
Mental Health Counselor
NPI 1215202437
30 PECK RD BUILDING 2 SUITE#2203
Torrington, CT 06790
(860) 626-7007
✔ PECOS16 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2111489

Wellmore · Waterbury, CT
Active · expires Apr 6, 2028
CLIA Number07D2111489
Laboratory TypeBehavioral Hlth Agency
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorChristopher Young
Laboratory Phone(203) 574-9000
Laboratory LocationWellmore402 E Main St, Waterbury, CT 06702
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wellmore, Inc's NPI number?

The NPI number for Wellmore, Inc is 1336407915. It was assigned to this organization in the NPPES registry on May 2, 2012. The provider is doing business as Wellmore, Inc.-Therapeutic Shelter.

Where is Wellmore, Inc located?

Wellmore, Inc is located at 142 Griggs St, Waterbury, CT 06704. The listed phone number is (203) 574-1419.

What is Wellmore, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Wellmore, Inc enrolled in Medicare?

Yes. Wellmore, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellmore, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Wellmore, Inc. 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. The largest specialties are Clinical Social Worker (9), Mental Health Counselor (5) and Nurse Practitioner (2). Of these, 1 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellmore, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2111489) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellmore, Inc was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.