Active NPI
Caroline Suzanne Carey Oesch
- Professional Counselor
- Bloomfield, CT
National Provider Identifier
1104467919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006187
- Practice address
- 71 West Dudley St
Bloomfield, CT 06002 - Phone
- (860) 888-3518
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006187 | CT | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
71 West Dudley St
Bloomfield, CT 06002
Mailing address
26 S Grand St
West Suffield, CT 06093-3412
Phone (518) 275-7793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006187 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1104467919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 S GRAND ST",
"city": "WEST SUFFIELD",
"state": "CT",
"postal_code": "060933412",
"telephone_number": "518-275-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 WEST DUDLEY ST",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "06002",
"telephone_number": "860-888-3518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY OESCH",
"first_name": "CAROLINE",
"middle_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "006187",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.