Clinical Connections, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9729 Issued in CT

Legal business name

CLINICAL CONNECTIONS, LLC

Practice address

1343 Sullivan Ave
South Windsor, CT 06074-2714

Phone

(860) 416-3072

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy K Goudreault, LCSWNPI 1942654900

Title

Sole Proprietor

Phone

(860) 416-3072

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy K Goudreault, LCSW

  • Clinical Social Worker
  • South Windsor, CT
  • NPI 1942654900
  Authorized official Same address or phone

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1003348368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742714",
            "telephone_number": "860-416-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 SULLIVAN AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742714",
            "telephone_number": "860-416-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "GOUDREAULT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "860-416-3072",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, 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 Mar 28, 2017; 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.