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CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
NPI 1679614242
Clinic/Center - Mental Health (Including Community Mental Health Center) in New London, CT

Active since February 08, 2007
75 GRANITE ST, NEW LONDON, CT 06320(860) 437-4550(860) 437-4552 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2019, Apr 16, 2019 (2 updates tracked since 2019).

About Child And Family Agency Of Southeastern Connecticut, Inc. NPPES

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

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI 1679614242) is a healthcare organization registered as a mental health (including community mental health center) in New London, Connecticut and active in the NPI registry since February 2007. The organization lists Lisa Baxter, Chief Financial And Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1679614242
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Location Address75 GRANITE STNew London, CT 06320-5730
Mailing Address255 Hempstead StNew London, CT 06320-6204
Phone(860) 437-4550
Fax(860) 437-4552
Organization SubpartNo
Authorized OfficialLisa BaxterChief Financial And Admin Officer · (860) 443-2896
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1679614242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
75 GRANITE ST, New London, CT 06320
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Other Identifiers 1

Medicaid004083309CT

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.

NINON GUINASSI
Counselor (Mental Health)
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4555
RACHEL K DALEY BS
Social Worker
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
ERIN SULLIVAN
Social Worker (Clinical)
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
ERIKA LISEE
Social Worker (School)
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
MS. JAIME MARIE MILLER MSW
Social Worker (Clinical)
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
JENNIFER TARA COHEN BA
Social Worker
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 615-9652
JEANINE VAUGHN LMFT
Marriage & Family Therapist
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550
SARA DIANE LAMBERT APRN
Nurse Practitioner (Psychiatric/Mental Health)
75 GRANITE ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-4550

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 Child And Family Agency Of Southeastern Connecticut, Inc.'s NPI number?

The NPI number for Child And Family Agency Of Southeastern Connecticut, Inc. is 1679614242. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Child And Family Agency Of Southeastern Connecticut, Inc. located?

Child And Family Agency Of Southeastern Connecticut, Inc. is located at 75 Granite St, New London, CT 06320. The listed phone number is (860) 437-4550.

What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Child And Family Agency Of Southeastern Connecticut, Inc. was last updated on June 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.