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MINDFUL MEDIATION LLC
NPI 1891153474
Social Worker - Clinical in North Haven, CT

Active since February 10, 2016
85 STATE ST STE D, NORTH HAVEN, CT 06473(203) 376-0220 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mindful Mediation Llc NPPES

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

MINDFUL MEDIATION LLC (NPI 1891153474) is a healthcare organization registered as a clinical in North Haven, Connecticut and active in the NPI registry since February 2016. The organization lists Shalyn Rose, Owner, as its authorized official.

NPPES Registry Identity

NPI1891153474
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL MEDIATION LLC
Location Address85 STATE ST STE DNorth Haven, CT 06473-2240
Mailing Address49 Englewood DrNew Haven, CT 06515-2309
Phone(203) 376-0220
Organization SubpartNo
Authorized OfficialShalyn RoseOwner · (203) 376-0220
Enumeration DateFebruary 10, 2016
✔ NPI 1891153474 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 · 008003
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 ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 001770 (CT)
85 STATE ST STE D, North Haven, CT 06473
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Other Identifiers 2

Medicaid008041822CT
Medicaid008038021CT

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

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.

CHRISTINE LORRAINE MEYER LPC
Counselor (Professional)
85 STATE ST STE D
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (475) 201-7192
CARSIN MARIE CONNER LPC
Counselor (Professional)
85 STATE ST STE D
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (732) 977-7670

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 Mindful Mediation LLC's NPI number?

The NPI number for Mindful Mediation LLC is 1891153474. It was assigned to this organization in the NPPES registry on February 10, 2016.

Where is Mindful Mediation LLC located?

Mindful Mediation LLC is located at 85 State St Ste D, North Haven, CT 06473. The listed phone number is (203) 376-0220.

What is Mindful Mediation 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 Mindful Mediation LLC was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.