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

Mind Body Motherhood LLC

Organization Clinical Social Worker · NPI 1770105736

Mind Body Motherhood LLC is a Clinical Social Worker 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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