INNER PEACE CT
NPI 1710228036
Social Worker - Clinical in Waterford, CT

Active since March 12, 2013
83 BOSTON POST RD, WATERFORD, CT 06385(860) 917-0790(860) 443-0748 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Inner Peace Ct NPPES

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

INNER PEACE CT (NPI 1710228036) is a healthcare organization registered as a clinical in Waterford, Connecticut and active in the NPI registry since March 2013. The organization lists Jennifer Ann Clark, Clinical Program Director, as its authorized official.

NPPES Registry Identity

NPI1710228036
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINNER PEACE CT
Location Address83 BOSTON POST RDWaterford, CT 06385-2423
Mailing Address83 Boston Post RdWaterford, CT 06385-2423 · (860) 917-0790 · Fax (860) 443-0748
Fax(860) 443-0748
Organization SubpartNo
Authorized OfficialJennifer Ann ClarkClinical Program Director · (860) 917-0790
Enumeration DateMarch 12, 2013
NPI 1710228036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CT · 006060
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.
83 BOSTON POST RD, Waterford, CT 06385

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 4

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

Counselor (Professional)
83 BOSTON POST RD
WATERFORD, CT 06385
Social Worker (Clinical)
83 BOSTON POST RD
WATERFORD, CT 06385
Acupuncturist
83 BOSTON POST RD
WATERFORD, CT 06385
Acupuncturist
83 BOSTON POST RD
WATERFORD, CT 06385

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 Inner Peace Ct's NPI number?

The NPI number for Inner Peace Ct is 1710228036. It was assigned to this organization in the NPPES registry on March 12, 2013.

Where is Inner Peace Ct located?

Inner Peace Ct is located at 83 Boston Post Rd, Waterford, CT 06385. The listed phone number is (860) 917-0790.

What is Inner Peace Ct'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 Inner Peace Ct was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.