Courtney W. Augustine-Palmer, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

3741 Issued in CT

Practice address

196 Court St
Middletown, CT 06457-3302

Phone

(860) 985-5426

NPI assigned

Aug 24, 2017

Last updated

Aug 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• State of Connecticut

  dba River Valley Services

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1427074426
  Medicare reassignment
• The Connection Inc.

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1154387652
  NPD (past)
• The Connection Inc.

  dba Greater Middletown Counseling Center.

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1952442725
  NPD (past)

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1043737653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROSCOMMON DR STE 203",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064577558",
            "telephone_number": "860-343-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 COURT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573302",
            "telephone_number": "860-985-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE-PALMER",
        "first_name": "COURTNEY",
        "middle_name": "W.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "3741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athena Middlesex, LLC (Middlesex Health Care Center)
• Jacqueline Mary Atkinson, PA-C
• Katherine Carol Attong-Jackson, DPM
• Nicole Christina Aucoin, O.D.
• David Augenblick, MD
• Akashdeep Aujla, M.D.
• Tanya Azzaro
• Samuel Allan Babcock, LCSW
• Jessica Marie Badichek, PHARMD
• Jessenia Baez

• Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.