Modugno Clinical Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MODUGNO CLINICAL THERAPY, LLC

Practice address

1698 Post Rd E Ste 2a
Westport, CT 06880-5652

Phone

(203) 383-0501

NPI assigned

Oct 9, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth Modugno, LCSW, LADCNPI 1851694244

Title

Owner

Phone

(203) 383-0501

Specialties & licenses 2

Addresses

Other names 1

• Aspire Counseling Doing business as

Locations

Practitioners 1

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

• Elizabeth V. Modugno, LCSW

  • Clinical Social Worker
  • Westport, CT
  • NPI 1851694244
  NPD Authorized official

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1093280786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 GAY BOWER RD",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682129",
            "telephone_number": "203-383-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 POST RD E STE 2A",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805652",
            "telephone_number": "203-383-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODUGNO CLINICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "MODUGNO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-383-0501",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspire Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Miro
• Dean Joseph Moccia II
• Modern Dermatology PC
• Sachin Modi, M.D.
• Daniel Modlinger
• Elizabeth V. Modugno, LCSW
• Deborah Anne Mogelof, M.D.
• Molly Rabinowitz Dba Otplus Therapeutics
• Alexandra Rae Montie, LPC
• John T Moore, M.D.

• Clinical Social Worker in Westport, CT
• Providers in Westport, 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 Oct 9, 2018; 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.