Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etherapy of Connecticut, LLC

Organization Social Worker · NPI 1851640163

Etherapy of Connecticut, LLC provides Social Worker services in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1062 Barnes Rd Ste 106
Wallingford, CT 06492-6012
Phone: (860) 882-3268
Fax: (203) 265-0165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 006512 (CT)
Social Worker Taxonomy 104100000X · Licence 006512 (CT)

Record details

NPI number1851640163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Rogala — Owner & Provider · (203) 308-8739
NPI enumeratedAugust 31, 2012
Last updated in NPPESJuly 21, 2022
Mailing address126 Damascus Rd, Branford, CT 06405-3961

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