FARMINGTON RIVER MENTAL HEALTH SPECIALISTS, LLC (NPI# 1669731360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669731360 |
| Entity Type | Organization |
| Organization Name | FARMINGTON RIVER MENTAL HEALTH SPECIALISTS, LLC |
| Practice Address |
46 W Avon Rd Ste 204 Avon CT 06001-3679 |
| Practice Telephone | 8603078943 |
| Practice Fax Number | 8608241469 |
| Mailing Telephone | 8603078943 |
| Mailing Fax Number | 8608241469 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | MRS. DEBRA M CARROLL (DIRECTOR) |
| Authorized Official Telephone | 8603078943 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
CT | Behavioral Health & Social Service Providers | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
005693 | CT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | FARMINGTON RIVER MENTAL HEALTH SPECIALISTS, LLC | 46 West Avon Rd, Suite 204, Avon, CT 06057 |
| Street Address |
46 W AVON RD STE 204 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| 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 |
|---|---|---|---|---|
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1184194904 | Brittney Connery | Social Worker | 85 E High St, Avon, MA 02322-1218 | 2018-12-05 |
| 1497242481 | Dawn Cohen Lcsw, LLC | Social Worker | 152 Simsbury Rd Bldg 8, Avon, CT 06001-3777 | 2018-04-16 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1548643810 | Marla Dakin | Social Worker | 111 Simsbury Rd Ste 104, Avon, CT 06001-3763 | 2015-07-06 |
| 1588074850 | Kimberly Wearne Levesque | Social Worker | 124 Simsbury Rd, Avon, CT 06001-3743 | 2014-05-07 |
| 1679907653 | Cynthia Mcquigg | Social Worker | 8103 Us Hwy 36, 158, Avon, IN 46123-7964 | 2013-08-27 |
| 1154673796 | Pamela H. Lefever | Social Worker | 40 Tower Ln, Avon, CT 06001-4222 | 2012-10-05 |
| 1972887081 | Salli Unhong Shon | Social Worker | 10 Mulberry Lane, Avon, CT 06001-0600 | 2011-10-07 |
| Find all providers in AVON | ||||
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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.