Active NPI
Diane M Prior, L.C.S.W.
- Clinical Social Worker
- Milford, CT
National Provider Identifier
1043221948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005591
- Practice address
- 25 Regent Ter
Milford, CT 06460-4951 - Phone
- (203) 783-9648
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005591 | CT | Primary |
Addresses
Primary practice location
25 Regent Ter
Milford, CT 06460-4951
Mailing address
25 Regent Ter
Milford, CT 06460-4951
Phone (203) 783-9648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C.A.Q.H. | Other | CT | 11244119 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005591 | CT | MD | Speech-Language Pathologist |
| 5591 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town of Branford | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Branford Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Branford, CT
- NPI 1063437895
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043221948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 REGENT TER",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604951",
"telephone_number": "203-783-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 REGENT TER",
"city": "MILFORD",
"state": "CT",
"postal_code": "064604951",
"telephone_number": "203-783-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIOR",
"first_name": "DIANE",
"middle_name": "M",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005591",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "11244119",
"identifier": "C.A.Q.H.",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
- Bethany Preston, M.S., CCC-SLP
- Joanne C Prete, ATR, LPC
- Christina Prevot
- Michael David Prezioso, LPC-A ATR-P
- Primary Care Solutions LLC
- Private Practice of Adrian Rodriguez Targa LCSW
- Proactive Health Care Management,LLC
- Joanna Celeste Procaccini, PSY.D., NCSP
- Sara Grace Procopio, LMSW
- Professional Dental Alliance of Milford, PLLC (Life Long Dental Care of Milford)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.