N.C.K., LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005997 Issued in CT

Legal business name

N.C.K., LLC

Practice address

2 Bull Ave
7
Wallingford, CT 06492-6514

Phone

(203) 809-2455

NPI assigned

May 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natasha Kennedy, LCSW

Title

Owner

Phone

(203) 809-2455

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1003108887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BULL AVE",
            "address_2": "7",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926514",
            "telephone_number": "203-809-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BULL AVE",
            "address_2": "7",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926514",
            "telephone_number": "203-809-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.C.K., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-809-2455",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Murray, SLP
• Angela Mustac, D.C
• Jacqueline M Muszynski, RDN, LDN
• Sylvia Bertha Ngina Mwanzia, MD
• MWL-Wallingford
• Duquesa Nacpil, PHARM D.
• Muneet Kaur Nanda, D.M.D
• June Napolitano, RN
• Nicole Nardello
• Pasquale Nastri III, RPH

• Clinical Social Worker in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.