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

Weave Your Life LLC

Organization Clinical Social Worker · NPI 1104149293

Weave Your Life LLC provides Clinical Social Worker services in Southington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
Specialties on file
3
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

963 Queen St Ste C
Southington, CT 06489-1282 Not confirmed with CMS for 14 years — call before visiting
Phone: (860) 819-8570
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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 · Licence 006194 (CT)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 006194 (CT)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence 000729 (CT)

Record details

NPI number1104149293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Bennett — Manager · (860) 819-8570
NPI enumeratedMarch 4, 2010
Last updated in NPPESAugust 13, 2012
Mailing address963 Queen St, Suite C, Southington, CT 06489-1282

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