MEDICARE: STEP WITH PURPOSE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1700734274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEP WITH PURPOSE LLC

Provider Business Mailing Address
First Line	:	20 SEYMOUR ST
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-3444
Country	:	US
Telephone Number	:	860-761-5594
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 JEROME AVE STE 203A
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-2467
Country	:	US
Telephone Number	:	860-952-3335
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	CHANAE PERRY-TANKSLEY
Credential	:	LCSW
Telephone Number	:	860-761-5594

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “STEP WITH PURPOSE LLC ” Practice Location

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