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

Headspace LLC

Organization Clinical Social Worker · NPI 1083229355

Headspace LLC is a Clinical Social Worker in Wethersfield, 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

433 Silas Deane Hwy
Wethersfield, CT 06109-2123
Phone: (860) 837-0300
Fax: (860) 540-1069
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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 number1083229355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Burgos — Owner · (860) 837-0300
NPI enumeratedSeptember 13, 2020
Last updated in NPPESSeptember 13, 2020
Certification dateSeptember 13, 2020
Mailing address433 Silas Deane Hwy, Wethersfield, CT 06109-2123

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