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

Life Source Center, Inc

Organization Clinical Social Worker · NPI 1780795559

Life Source Center, Inc is a Clinical Social Worker in Cheshire, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 Arrowleaf Ct
Cheshire, CT 06410-3312
Phone: (860) 628-8474
Fax: (860) 621-0850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 000320 (CT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 000402 (CT)

Record details

NPI number1780795559
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Shocki — Executive Director · (860) 628-8474
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address710 Main St, Building 3, Suite 9, Plantsville, CT 06479-1565

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