Ashley Monck LCSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ASHLEY MONCK LCSW LLC

Practice address

30 Deepwood Dr
Bethel, CT 06801-1267

Phone

(203) 302-9378

NPI assigned

Mar 21, 2021

Organization subpart

No

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

Authorized official

Name

Ashley BruckenthalNPI 1295281178

Title

Social Worker

Phone

(203) 302-9378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ashley Bruckenthal

  • Clinical Social Worker
  • Bethel, CT
  • NPI 1295281178
  NPD Authorized official

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1104402148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 DANBURY RD STE 337",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774019",
            "telephone_number": "203-302-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DEEPWOOD DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011267",
            "telephone_number": "203-302-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MONCK LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "BRUCKENTHAL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "203-302-9378"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295281178",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin M Almonte, CM
• Mallory Ames
• Rebecca Jo Anderson, MS CCC SLP
• Amanda Andrade, TEACHER
• Olivia Armater, OT
• Associated Mind and Body LLC
• Samantha Bachman, LPC
• Susan Backman, MT, CMLDT
• Baker Pharmacy LTD
• Barbara Kelly, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bethel, CT
• Providers in Bethel, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.