1. Home
  2. Directory
  3. Connecticut
  4. Newington
  5. Social Worker
  6. NPI Profile

NEW PROVENANCE COUNSELING CENTER, LLC
NPI 1457949687
Social Worker - Clinical in Newington, CT

Active since January 04, 2021
171 MARKET SQ STE 206A, NEWINGTON, CT 06111(860) 845-1503(860) 370-4543 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 4, 2025, Jan 4, 2021 (2 updates tracked since 2021).

About New Provenance Counseling Center, Llc NPPES

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

NEW PROVENANCE COUNSELING CENTER, LLC (NPI 1457949687) is a healthcare organization registered as a clinical in Newington, Connecticut and active in the NPI registry since January 2021. The organization lists Michelle Wortham, Owner, as its authorized official.

NPPES Registry Identity

NPI1457949687
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNEW PROVENANCE COUNSELING CENTER, LLC
Location Address171 MARKET SQ STE 206ANewington, CT 06111-2930
Mailing Address22 Saint James St Apt GManchester, CT 06040-5957 · (959) 222-8548
Phone(860) 845-1503
Fax(860) 370-4543
Organization SubpartNo
Authorized OfficialMichelle WorthamOwner · (860) 845-1503
Enumeration DateJanuary 4, 2021
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1457949687 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.
171 MARKET SQ STE 206A, Newington, CT 06111
Open in Google Maps ↗

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 2

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

MICHELLE MARIE WORTHAM LCSW
Social Worker (Clinical)
171 MARKET SQ STE 206A
NEWINGTON, CT 06111
Capitol Planning Region (860) 845-1503
MELISSA WORTHAM LCSW
Social Worker (Clinical)
171 MARKET SQ STE 206A
NEWINGTON, CT 06111
Capitol Planning Region (860) 845-1503

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 New Provenance Counseling Center, LLC's NPI number?

The NPI number for New Provenance Counseling Center, LLC is 1457949687. It was assigned to this organization in the NPPES registry on January 4, 2021.

Where is New Provenance Counseling Center, LLC located?

New Provenance Counseling Center, LLC is located at 171 Market Sq Ste 206A, Newington, CT 06111. The listed phone number is (860) 845-1503.

What is New Provenance Counseling Center, LLC'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 New Provenance Counseling Center, LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.