REGENERATIVE PSYCHOTHERAPY PLLC (NPI# 1003420829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003420829 |
| Entity Type | Organization |
| Organization Name | REGENERATIVE PSYCHOTHERAPY PLLC |
| Practice Address |
95 Long Lots Rd Westport CT 06880-3919 |
| Practice Telephone | 9172249598 |
| Mailing Telephone | 9172249598 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | MERRITT JULIANO (MANAGING MEMBER) |
| Authorized Official Telephone | 9172249598 |
| Authorized Official Credential | JD LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Regenerative Psychotherapy PLLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Regenerative Psychotherapy Pllc | 1698 Post Road, Suite 2a, 2nd Floor, Westport, CT 06880 |
| Street Address |
95 LONG LOTS RD |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
| 1659938603 | Kevin Stimmel | Physical Therapist | 429 Post Rd E, Westport, CT 06880 | 2019-05-24 |
| 1093379307 | Jonathan David Geller | Social Worker | 166 Kings Highway North, Westport, CT 06880 | 2019-04-23 |
| 1942766480 | Shevonte M Johnson | Adult Companion | 100 Casals Apt 19a, Bronx, NY 06880 | 2019-02-20 |
| 1982175014 | Denese Marshall LLC | Counselor | 117 Post Road West, Westport, CT 06880 | 2018-12-16 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1053891044 | Andree Palmgren | Counselor | 246 Post Rd East, 2nd Floor, Westport, CT 06880 | 2018-08-19 |
| Find all providers in zip 06880 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978619 | Meditoxcare LLC | Social Worker | 20 Saugatuck Ave Ste 2, Westport, CT 06880-5700 | 2020-09-23 |
| 1982213500 | Laura Taets | Social Worker | 40 Reichert Cir, Westport, CT 06880-2643 | 2020-07-29 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1033693106 | Susan Arnold Oliver | Social Worker | 2 Oakstone Way, Westport, MA 02790-4338 | 2018-09-24 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1477061547 | Justin Laprise | Social Worker | 360 Gifford Rd, Westport, MA 02790-3414 | 2018-01-11 |
| 1619486099 | Arnona Eden Davidai | Social Worker | 246 Post Rd E Fl 2, Westport, CT 06880-3615 | 2017-09-28 |
| 1245624634 | Danielle M Costa | Social Worker | 17 Plymouth Blvd, Westport, MA 02790-4607 | 2015-03-24 |
| 1235528068 | Christiane Kinseley | Social Worker | 28 Davenport Ave, Apt B, Westport, CT 06880-5830 | 2015-01-16 |
| 1275953358 | Laurie Nelson Austin | Social Worker | 544 Riverside Ave Ste 7, Westport, CT 06880-5732 | 2014-04-16 |
| Find all providers in WESTPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.