Organization Active NPI

Meadow Brook Counseling LLC

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1104582170
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MEADOW BROOK COUNSELING LLC
Practice address
756 Hillside Ave
Hartford, CT 06106-4535
Phone
(860) 817-0310
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Mrs. Natalie Rosado Smith, LCSW
Title
Owner
Phone
(860) 817-0310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

756 Hillside Ave
Hartford, CT 06106-4535

Mailing address

756 Hillside Ave
Hartford, CT 06106-4535
Phone (860) 817-0310

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1104582170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 HILLSIDE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064535",
            "telephone_number": "860-817-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 HILLSIDE AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064535",
            "telephone_number": "860-817-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW BROOK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "ROSADO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-817-0310",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.