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

New Provenance Counseling Center, LLC

Organization Clinical Social Worker · NPI 1457949687

New Provenance Counseling Center, LLC is a Clinical Social Worker 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.

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Practice location Address checks out

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

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