OrganizationActive
Radiance Innovative Services, LLC
NPI 1942589189 · Clinical Social Worker · Hartford, CT
Provider details
- NPI number
- 1942589189
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Charles Frazier, Owner(860) 817-8640
- License
- 006114 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
880 Asylum Ave
Hartford, CT 06105-1902
Phone: (860) 817-8640
Street-level locationGet directions
Mailing address
Po Box 154
Hartford, CT 06141-0154
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2011-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.