Healthcare Provider Details

I. General information

NPI: 1821950387
Provider Name (Legal Business Name): ELM STATE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

966 S MAIN ST
PLANTSVILLE CT
06479-1645
US

IV. Provider business mailing address

966 S MAIN ST
PLANTSVILLE CT
06479-1645
US

V. Phone/Fax

Practice location:
  • Phone: 860-736-5386
  • Fax: 860-263-8291
Mailing address:
  • Phone: 860-736-5386
  • Fax: 860-263-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER ALBINI
Title or Position: DIRECTOR
Credential: LPC
Phone: 860-620-7748