Active NPI
Christine M Migdole, LCSW
- Clinical Social Worker
- Essex, CT
National Provider Identifier
1043430200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004709
- Practice address
- 251 Westbrook Rd
Pathways
Essex, CT 06426 - Phone
- (860) 767-1277
- Fax
- (860) 767-7712
- NPI assigned
- Apr 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 004709 | CT | Primary |
Addresses
Primary practice location
251 Westbrook Rd
Pathways
Essex, CT 06426
Mailing address
251 Westbrook Rd
Essex, CT 06426
Phone (860) 767-1277
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 |
|---|---|---|---|
| 004709 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Center for Learning & Behavioral Health, LLC | Clinical | Past | Accepting new patients |
| Psych Services LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Essex, CT
- NPI 1467760595
Clinical
-
- Psychiatry Physician
- Guilford, CT
- NPI 1629175807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043430200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 WESTBROOK RD",
"city": "ESSEX",
"state": "CT",
"postal_code": "06426",
"telephone_number": "860-767-1277",
"fax_number": "860-767-7712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 WESTBROOK RD",
"address_2": "PATHWAYS",
"city": "ESSEX",
"state": "CT",
"postal_code": "06426",
"telephone_number": "860-767-1277",
"fax_number": "860-767-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGDOLE",
"first_name": "CHRISTINE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Essex, CT
- MHS Primary Care Inc
- MHS Primary Care Inc (Middlesex Health Concierge Medicine)
- Tomasz Michalak
- Middlesex Hospital (Middlesex Hospital dba Compcare and Occupational Medicine)
- Middlesex Wellness & Mediation, LLC
- David Mathew Milak, RPH
- Caitlin Mary Miller, MS, CCC-SLP
- Mindful Therapy Studio LLC
- Madison Taylor Mizenko, APRN, AGNP-C
- Mobility Works LLC
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.