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CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
NPI 1962926576
Clinic/Center - Adolescent and Children Mental Health in New London, CT

Active since July 26, 2017
36 WALLER ST, NEW LONDON, CT 06320(860) 437-6480(860) 701-3772 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, Jul 26, 2017 (3 updates tracked since 2017).

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 1962926576) is a healthcare organization registered as an adolescent and children mental health in New London, Connecticut and active in the NPI registry since July 2017. The organization lists Lisa Baxter, Chief Financial And Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1962926576
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Location Address36 WALLER STNew London, CT 06320-5216
Mailing Address255 Hempstead StNew London, CT 06320-6204 · (860) 443-2896 · Fax (860) 442-5909
Phone(860) 437-6480
Fax(860) 701-3772
Organization SubpartNo
Authorized OfficialLisa BaxterChief Financial And Admin Officer · (860) 443-2896
Enumeration DateJuly 26, 2017
Last NPPES UpdateJune 20, 20193 updates tracked since enumeration
✔ NPI 1962926576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in CT · 0138
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
36 WALLER ST, New London, CT 06320
Open in Google Maps ↗

Other Identifiers 1

Other0138CT · Dph

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.

MRS. NANCY M GRANT PNP
Nurse Practitioner
36 WALLER ST, SCHOOL BASED HEALTH CENTER BDJM
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-3772
CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Clinic/Center
36 WALLER ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-6480
DIONNE BUTLER MA
Counselor (Professional)
36 WALLER ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-6480
MRS. BARBARA C RUCCI LCSW
Social Worker (Clinical)
36 WALLER ST, BENNIE DOVER JACKSON MIDDLE SCHOOL
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 701-3772

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 1962926576. It was assigned to this organization in the NPPES registry on July 26, 2017.

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

Child And Family Agency Of Southeastern Connecticut, Inc. is located at 36 Waller St, New London, CT 06320. The listed phone number is (860) 437-6480.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

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.