Active NPI
Healing Journey
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1003224866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007897
- Legal business name
- HEALING JOURNEY
- Practice address
- 85 Mayapple Rd
Stamford, CT 06903-1316 - Phone
- (607) 727-7049
- NPI assigned
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nancy Lee Capel, LCSW
- Title
- Psychotherapist
- Phone
- (607) 727-7049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007897 | CT | Primary |
Addresses
Primary practice location
85 Mayapple Rd
Stamford, CT 06903-1316
Mailing address
85 Mayapple Rd
Stamford, CT 06903-1316
Phone (607) 727-7049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00618162 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1003224866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 MAYAPPLE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069031316",
"telephone_number": "607-727-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MAYAPPLE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069031316",
"telephone_number": "607-727-7049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING JOURNEY",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "CAPEL",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PSYCHOTHERAPIST",
"authorized_official_telephone_number": "607-727-7049",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "007897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00618162",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.