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ETHERAPY OF CONNECTICUT, LLC
NPI 1851640163
Social Worker - Clinical in Wallingford, CT

Active since August 31, 2012
1062 BARNES RD STE 106, WALLINGFORD, CT 06492(860) 882-3268(203) 265-0165 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Etherapy Of Connecticut, Llc NPPES

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

ETHERAPY OF CONNECTICUT, LLC (NPI 1851640163) is a healthcare organization registered as a clinical in Wallingford, Connecticut and active in the NPI registry since August 2012. The organization lists Justin Andrew Rogala, Owner & Provider, as its authorized official.

NPPES Registry Identity

NPI1851640163
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameETHERAPY OF CONNECTICUT, LLC
Location Address1062 BARNES RD STE 106Wallingford, CT 06492-6012
Mailing Address126 Damascus RdBranford, CT 06405-3961 · (860) 882-3268 · Fax (203) 265-0165
Phone(860) 882-3268
Fax(203) 265-0165
Organization SubpartNo
Authorized OfficialJustin Andrew RogalaOwner & Provider · (203) 308-8739
Enumeration DateAugust 31, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1851640163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 006512
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 006512 (CT)
1062 BARNES RD STE 106, Wallingford, CT 06492
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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

Other Providers at the Same Location NPPES 2

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

STEPHANIE STOPPER LMFT
Marriage & Family Therapist
1062 BARNES RD STE 106
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 996-8717
CREATIVE PATHWAYS COUNSELING LLC
Social Worker (Clinical)
1062 BARNES RD STE 106
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (959) 208-4834

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 Etherapy Of Connecticut, LLC's NPI number?

The NPI number for Etherapy Of Connecticut, LLC is 1851640163. It was assigned to this organization in the NPPES registry on August 31, 2012.

Where is Etherapy Of Connecticut, LLC located?

Etherapy Of Connecticut, LLC is located at 1062 Barnes Rd Ste 106, Wallingford, CT 06492. The listed phone number is (860) 882-3268.

What is Etherapy Of Connecticut, 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 Etherapy Of Connecticut, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.