Organization Active NPI

Connectfulness Counseling PLLC

  • Clinical Social Worker
  • New Paltz, NY
National Provider Identifier
1043664147
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076600 Issued in NY
Legal business name
CONNECTFULNESS COUNSELING PLLC
Practice address
521 Main St
New Paltz, NY 12561-1609
Phone
(845) 242-5214
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Rebecca WongNPI 1275758328
Title
LCSW
Phone
(845) 242-5214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 076600 NY Primary

Addresses

Primary practice location

521 Main St
New Paltz, NY 12561-1609

Mailing address

126 Main St
Ste B
New Paltz, NY 12561-1525
Phone (845) 242-5214

National Provider Directory

National Provider Directory

Locations

126 Main St
Ste B
New Paltz, NY 12561

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1043664147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MAIN ST",
            "address_2": "STE B",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611525",
            "telephone_number": "845-242-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MAIN ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611609",
            "telephone_number": "845-242-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTFULNESS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "845-242-5214"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.