Michael Tintrup, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000602 Issued in CT

Practice address

1 Park St
3Rd Floor
Norwalk, CT 06851-4841

Phone

(203) 416-1305

Fax

(203) 750-9651

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Catholic Charities of Fairfield County Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Danbury, CT
  • NPI 1205050606
  NPD (past)
• Catholic Charities of Fairfield County, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Stamford, CT
  • NPI 1831314269
  NPD (past)
• Catholic Charities of Fairfield County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, CT
  • NPI 1972727394
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073673612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK ST",
            "address_2": "3RD FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514841",
            "telephone_number": "203-416-1305",
            "fax_number": "203-750-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK ST",
            "address_2": "3RD FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514841",
            "telephone_number": "203-416-1305",
            "fax_number": "203-750-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINTRUP",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Thompson, LCSW
• Kianna Thompson
• Kimberly Nan Thorme
• Kathleen Patricia Tighe, RN -REGISTERED NURSE
• Mahogany Tillman, RN, BSN
• Jennifer Sara Tishler, MS, PT
• Shridat P Tiwari, RPH
• Rosabel Mireya Tobar, D.D.S.
• Karissa Tobler
• Randi D Tomasulo, M.D.

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, 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 Jul 9, 2007; 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.