Active NPI
Gary Arthur Higgins, LCSW
- Clinical Social Worker
- Prospect, CT
National Provider Identifier
1104851344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004212
- Practice address
- 50 Waterbury Rd
2C
Prospect, CT 06712-1258 - Phone
- (203) 768-1021
- Fax
- (203) 768-1021
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004212 | CT | Primary |
Addresses
Primary practice location
50 Waterbury Rd
2C
Prospect, CT 06712-1258
Mailing address
50 Waterbury Rd
2C
Prospect, CT 06712-1258
Phone (203) 769-1021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004188365 | Medicaid | CT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004212 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1104851344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WATERBURY RD",
"address_2": "2C",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121258",
"telephone_number": "203-769-1021",
"fax_number": "203-768-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WATERBURY RD",
"address_2": "2C",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121258",
"telephone_number": "203-768-1021",
"fax_number": "203-768-1021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "GARY",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004188365",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.