Healthcare Provider Details

I. General information

NPI: 1164367280
Provider Name (Legal Business Name): CALM CORNER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MAIN ST STE 8
MONROE CT
06468-2830
US

IV. Provider business mailing address

25A ALMA AVE
WOLCOTT CT
06716-3319
US

V. Phone/Fax

Practice location:
  • Phone: 203-598-2423
  • Fax:
Mailing address:
  • Phone: 203-598-2423
  • 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: JAMIE MASCOLO
Title or Position: OWNER
Credential: LCSW
Phone: 203-598-2423