Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

New Provenance Counseling Center, LLC

Organization Clinical Social Worker · NPI 1457949687

New Provenance Counseling Center, LLC provides Clinical Social Worker services in Newington, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

171 Market Sq Ste 206A
Newington, CT 06111-2930
Phone: (860) 845-1503
Fax: (860) 370-4543
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1457949687
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Wortham — Owner · (860) 845-1503
NPI enumeratedJanuary 4, 2021
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address22 Saint James St Apt G, Manchester, CT 06040-5957

Other providers in Newington