ELATION WELLNESS
NPI 1487109252
Social Worker - Clinical in Bridgeport, CT

Active since August 22, 2016
1057 BROAD ST, BRIDGEPORT, CT 06604(860) 661-2925 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2016, Aug 22, 2016 (2 updates tracked since 2016).

About Elation Wellness NPPES

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

ELATION WELLNESS (NPI 1487109252) is a healthcare organization registered as a clinical in Bridgeport, Connecticut and active in the NPI registry since August 2016. The organization lists Maria Camila Smith, Clinician, as its authorized official.

NPPES Registry Identity

NPI1487109252
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameELATION WELLNESS
Location Address1057 BROAD STBridgeport, CT 06604-4219
Mailing Address248 Toby Hill RdWestbrook, CT 06498-3521
Organization SubpartNo
Authorized OfficialMaria Camila SmithClinician · (203) 308-7835
Enumeration DateAugust 22, 2016
Last NPPES UpdateApril 2, 20182 updates tracked since enumeration
NPI 1487109252 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.

1057 BROAD ST, Bridgeport, CT 06604

Other Identifiers 1

Medicaid004235918CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Psychologist (Cognitive & Behavioral)
1057 BROAD ST
BRIDGEPORT, CT 06604
Social Worker (Clinical)
1057 BROAD ST
BRIDGEPORT, CT 06604
Psychologist (Clinical)
1057 BROAD ST
BRIDGEPORT, CT 06604
Social Worker (Clinical)
1057 BROAD ST, SUITE 304
BRIDGEPORT, CT 06604
Counselor (Professional)
1057 BROAD ST, 3RD FLOOR
BRIDGEPORT, CT 06604

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 Elation Wellness's NPI number?

The NPI number for Elation Wellness is 1487109252. It was assigned to this organization in the NPPES registry on August 22, 2016.

Where is Elation Wellness located?

Elation Wellness is located at 1057 Broad St, Bridgeport, CT 06604. The listed phone number is (860) 661-2925.

What is Elation Wellness'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 Elation Wellness was last updated on April 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.