1. Home
  2. Directory
  3. Connecticut
  4. Waterbury
  5. Clinic Center
  6. NPI Profile

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: August 02, 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
Phone(203) 574-1419
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
Open in Google Maps ↗

Other Names 1

Doing Business AsWellmore, Inc.-therapeutic Shelter

Other Identifiers 1

Medicaid004039202CT

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.

Other Providers at the Same Location NPPES 20

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

JEFFREY BRYANT
Student in an Organized Health Care Education/Training Program
142 GRIGGS ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-9000
DOUGLAS P CONNELLY CAC
Counselor (Professional)
142 GRIGGS ST, MORRIS FOUNDATION, INC-THERAPEUTIC CENTER
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-1419
MONIQUE DAGRACA
Community Health Worker
142 GRIGGS ST, THERAPEUTIC SHELTER
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-1419
MS. JACQUELINE DICANDIA
Student in an Organized Health Care Education/Training Program
142 GRIGGS ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-9000
DAWN ENGELHARD
Student in an Organized Health Care Education/Training Program
142 GRIGGS ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-1419
DESIREE HERENS
Student in an Organized Health Care Education/Training Program
142 GRIGGS ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-9000
SELENA SOTO
Student in an Organized Health Care Education/Training Program
142 GRIGGS ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-1419
DAWN WRIGHT
Community Health Worker
142 GRIGGS ST
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 574-1419

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.

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.