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MIND BODY MOTHERHOOD LLC
NPI 1770105736
Social Worker - Clinical in Bethany, CT

Active since May 13, 2020
649 AMITY RD STE 103, BETHANY, CT 06524(860) 357-1734 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind Body Motherhood Llc NPPES

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

MIND BODY MOTHERHOOD LLC (NPI 1770105736) is a healthcare organization registered as a clinical in Bethany, Connecticut and active in the NPI registry since May 2020. The organization lists Samantha Nilsson, Therapist And Owner, as its authorized official.

NPPES Registry Identity

NPI1770105736
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND BODY MOTHERHOOD LLC
Location Address649 AMITY RD STE 103Bethany, CT 06524-3091
Mailing Address130 Richardson DrMiddlebury, CT 06762-2124 · (860) 357-1734
Phone(860) 357-1734
Organization SubpartNo
Authorized OfficialSamantha NilssonTherapist And Owner · (860) 357-1734
Enumeration DateMay 13, 2020
NPPES CertifiedMay 13, 2020
✔ NPI 1770105736 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.
649 AMITY RD STE 103, Bethany, CT 06524
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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

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 Mind Body Motherhood LLC's NPI number?

The NPI number for Mind Body Motherhood LLC is 1770105736. It was assigned to this organization in the NPPES registry on May 13, 2020.

Where is Mind Body Motherhood LLC located?

Mind Body Motherhood LLC is located at 649 Amity Rd Ste 103, Bethany, CT 06524. The listed phone number is (860) 357-1734.

What is Mind Body Motherhood 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 Mind Body Motherhood LLC was last updated on May 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.