Chloe Skye Landisman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9823 Issued in CT

Practice address

25 Church Hill Rd Ste 202
Newtown, CT 06470-1646

Phone

(203) 988-6900

NPI assigned

Jun 6, 2024

Sex

Female

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meridian Psychotherapy Associates of Connecticut LLC

  • Clinical Social Worker
  • Newtown, CT
  • NPI 1225668650
  NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1093556524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3023",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064703023",
            "telephone_number": "203-988-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH HILL RD STE 202",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701646",
            "telephone_number": "203-988-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1012 Storrs Rd",
            "address_purpose": "LOCATION",
            "city": "Storrs Mansfield",
            "state": "CT",
            "postal_code": "062682606",
            "country_code": "US",
            "telephone_number": "203-988-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDISMAN",
        "first_name": "CHLOE",
        "middle_name": "SKYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "9823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KT Counseling Associates, LLC
• Kumkum S Modwel MD LLC
• Karin Williams Labanca, PT, DPT
• William P Labella, DDS
• Steven C. Landin, DMD
• Caroline Lucille Larosa, M.D.
• Maurice Park Lee, M.D., PH.D.
• Sean Lee, DDS
• David C Levi, MD
• Barbara Joan Levy, OTR/L

• Clinical Social Worker in Newtown, CT
• Providers in Newtown, 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 24, 2024; 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.