Full Circle Family Services at White Brook Farm, LLC
NPI 1326587882 · Clinical Social Worker · Danielson, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1326587882
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Marie Rivera, Owner(860) 753-6015
- License
- 009611 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 24 Frog Pond RdWoodstock, CT 06281-3009Phone: (860) 753-6015Fax: (877) 552-0608
- 147b Route 169Woodstock, CT 06281-3327Phone: (860) 753-6015Fax: (877) 552-0608
Registry dates
- Enumerated
- 2017-02-16
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.