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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: October 18, 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
Phone(860) 661-2925
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
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elation Wellness 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 Elation Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Maria Smith, LCSW
Clinical Social Worker
NPI 1326437336
400 COLUMBUS AVE
New Haven, CT 06519
(203) 503-3000
✔ PECOS✔ Accepts Medicare15 mi

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 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.

Is Elation Wellness enrolled in Medicare?

Yes. Elation Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elation Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Elation Wellness. 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.

When was this NPI record last updated?

The NPPES record for Elation Wellness was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.