Fortaleza Therapeutic Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FORTALEZA THERAPEUTIC SERVICES, PLLC

Practice address

1767 Summer St Ste 2
Stamford, CT 06905-5123

Phone

(203) 658-7813

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

Mildred Hungria, LCSWNPI 1205131034

Title

Psychotherapist

Phone

(347) 677-4841

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.

• Mildred Hungria

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1205131034
  NPD Authorized official

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1023663812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 SUMMER ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055123",
            "telephone_number": "203-658-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 SUMMER ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055123",
            "telephone_number": "203-658-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTALEZA THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "HUNGRIA",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "347-677-4841",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin Dallis Ford
• Suzanne Caroll Ford, OTR/L
• Erin Forler, LCSW
• Gabriella Forman, M.D.
• Sharon M Fornaciari, MS, LPC
• Rena Chase Fortier, MD
• Tabitha Fortt, MD
• Alec Fouche, PHARM. D
• Foundations Developmental and Behavioral Pediatrics PLLC
• Martin Fox, MD

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, 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 Aug 7, 2019; 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.