Healthcare Provider Details

I. General information

NPI: 1205392719
Provider Name (Legal Business Name): CMS THERAPY GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 KINGS HWY E STE 104A
FAIRFIELD CT
06825-4867
US

IV. Provider business mailing address

501 KINGS HWY E STE 104A
FAIRFIELD CT
06825-4867
US

V. Phone/Fax

Practice location:
  • Phone: 203-418-7651
  • Fax:
Mailing address:
  • Phone: 203-418-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. CAMILLA M SCHNAITMANN
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 203-418-7651