Organization Active NPI

Social Work Engagement Specialist LLC

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1073142469
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOCIAL WORK ENGAGEMENT SPECIALIST LLC
Practice address
3000 Whitney Ave # 215
Hamden, CT 06518-2353
Phone
(203) 901-7340
NPI assigned
Apr 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Krystal P Finch, DSW
Title
Clinical Therapist
Phone
(203) 901-7340

Specialties & licenses 1

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

Addresses

Primary practice location

3000 Whitney Ave # 215
Hamden, CT 06518-2353

Mailing address

3000 Whitney Ave # 215
Hamden, CT 06518-2353
Phone (203) 901-7340

National Provider Directory

National Provider Directory

Locations

3000 Whitney Ave
#215
Hamden, CT 06518
Phone (203) 901-7340

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1073142469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WHITNEY AVE # 215",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182353",
            "telephone_number": "203-901-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WHITNEY AVE # 215",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182353",
            "telephone_number": "203-901-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WORK ENGAGEMENT SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "203-901-7340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.