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

Mind Body Motherhood LLC

Organization Clinical Social Worker · NPI 1770105736

Mind Body Motherhood LLC provides Clinical Social Worker services in Bethany, Connecticut. Registered with an NPI since 2020.

In the registry since
2020
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

649 Amity Rd Ste 103
Bethany, CT 06524-3091
Phone: (860) 357-1734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1770105736
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Nilsson — Therapist And Owner · (860) 357-1734
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address130 Richardson Dr, Middlebury, CT 06762-2124

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