Active NPI
Bliss Counseling Services LLC
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1063867679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7950
- Legal business name
- BLISS COUNSELING SERVICES LLC
- Practice address
- 91 Shelton Ave
New Haven, CT 06511-1811 - Phone
- (203) 815-5061
- NPI assigned
- May 2, 2016
- Last updated
- May 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Gibson, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (203) 815-5061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7950 | CT | Primary |
Addresses
Primary practice location
91 Shelton Ave
New Haven, CT 06511-1811
Mailing address
63 Curtis Dr
New Haven, CT 06515-2307
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462147200000",
"number": "1063867679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 CURTIS DR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065152307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 SHELTON AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065111811",
"telephone_number": "203-815-5061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLISS COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "203-815-5061",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "7950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.