Harborside Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004320 Issued in CT

Legal business name

HARBORSIDE COUNSELING, LLC

Practice address

76 Buttonwood Rd
Hebron, CT 06248-1551

Phone

(860) 575-5552

NPI assigned

Mar 2, 2016

Last updated

Jun 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine A Morgan, LCSWNPI 1730140971

Title

Owner

Phone

(860) 575-5552

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine A Morgan, LCSW

  • Clinical Social Worker
  • Hebron, CT
  • NPI 1730140971
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717286400000",
    "number": "1093175135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BUTTONWOOD RD",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481551",
            "telephone_number": "860-575-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BUTTONWOOD RD",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481551",
            "telephone_number": "860-575-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2024-06-02",
        "certification_date": "2024-06-02",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-575-5552",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004320",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "004320",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trisha D Goss, COTA/L
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• Thomas Hanson
• Hebron Chiropractic Center LLC
• Hebron Dentistry PC (Hebron Center Dentistry)
• Hebron Eye Care LLC
• Hebron Family Dentist PLLC
• Hebron Family Physicians LLC

• Clinical Social Worker in Hebron, CT
• Providers in Hebron, 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 Jun 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.