Ebb and Flow Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EBB AND FLOW COUNSELING, LLC

Practice address

701 Cottage Grove Rd Ste E230
Bloomfield, CT 06002-4211

Phone

(860) 351-3072

NPI assigned

May 21, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Tyler, LCSWNPI 1326798984

Title

Partner

Phone

(860) 351-3072

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Patricia Ann Tyler, LCSW

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1326798984
  NPD Authorized official
• Michael Francis Tyler, LCSW

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1689324170
  NPD

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653091200000",
    "number": "1043958911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GUERNSEY RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023420",
            "telephone_number": "860-803-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE E230",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024211",
            "telephone_number": "860-351-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBB AND FLOW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-351-3072",
        "authorized_official_name_prefix": "Mrs.",
        "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": []
}

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• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, 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 May 21, 2022; 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.