MEDICARE: APPLIED THERAPEUTIC SUPPORT, 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	1041C0700X	Clinical Social Worker	008767	CT

General Provider Information

NPI Number	:	1407254873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED THERAPEUTIC SUPPORT, LLC

Provider Business Mailing Address
First Line	:	92 LIMEWOOD AVE
Second Line	:	#B12
City	:	BRANFORD
State	:	CT
Zip	:	06405-5340
Country	:	US
Telephone Number	:	203-444-7778
Fax Number	:	203-404-7126

Provider Business Practice Location Address
First Line	:	310 MAIN ST
Second Line	:	LOWER LEVEL
City	:	EAST HAVEN
State	:	CT
Zip	:	06512-2919
Country	:	US
Telephone Number	:	203-444-7778
Fax Number	:	203-404-7126

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH M SHEA
Credential	:	LCSW
Telephone Number	:	203-444-7778

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	12/16/2014

Similar Medicare Providers

1083613509 — DAVID RICCIO MD
Practice Location Address:

310 MAIN ST
EAST HAVEN, CT
06512-2919

Practice Phone: 203-467-1800
Practice Fax: 203-468-8343

1922051135 — LINDA GRISGRABER APRN
Practice Location Address:

310 MAIN ST , LOWR LEVEL
EAST HAVEN, CT
06512-2919

Practice Phone: 203-556-5225
Practice Fax: 203-494-7126

1861699068 — MR. JOHN TERRY DUKES LCSW
Practice Location Address:

310 MAIN ST
EAST HAVEN, CT
06512-2919

Practice Phone: 203-807-2769
Practice Fax: 203-404-7126

1437346632 — NEW HAVEN ORAL & MAXILLOFACIAL SURGERY ASSOC. PC
Practice Location Address:

310 MAIN ST
EAST HAVEN, CT
06512-2919

Practice Phone: 203-468-7181
Practice Fax: 203-469-8058

1588065544 — NEW PERSPECTIVE CLINICAL SERVICES, PC
Practice Location Address:

310 MAIN ST
EAST HAVEN, CT
06512-2919

Practice Phone: 203-927-5130
Practice Fax:

1043617806 — ELIZABETH M. SHEA LCSW
Practice Location Address:

310 MAIN ST LOWR LEVEL
EAST HAVEN, CT
06512-2919

Practice Phone: 203-444-7778
Practice Fax:

Directions to “APPLIED THERAPEUTIC SUPPORT, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.