OrganizationActive
Glow Up Therapy
NPI 1265090500 · Clinical Social Worker · Mystic, CT
Provider details
- NPI number
- 1265090500
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Jelden, Co-Owner(860) 772-4424
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 Main St
Mystic, CT 06355-3654
Phone: (860) 772-4424
Street-level locationGet directions
Mailing address
11 Main St
Mystic, CT 06355-3654
Registry dates
- Enumerated
- 2019-06-02
- Last updated
- 2019-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.