Active NPI
Claudette B Hauck, LCSW
- Clinical Social Worker
- Madison, CT
National Provider Identifier
1124120357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004785
- Practice address
- 149 Durham Rd
Suite 31
Madison, CT 06443-2677 - Phone
- (203) 245-1956
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004785 | CT | Primary |
Addresses
Primary practice location
149 Durham Rd
Suite 31
Madison, CT 06443-2677
Mailing address
5 Midland Rd
Trumbull, CT 06611-3233
Phone (203) 268-9957
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2172638 | Other | CT | CIGNA |
| 285942 | Other | CT | MANAGED HEALTH NETWORK |
| 528411 | Other | CT | VALUE OPTIONS |
| 140004785CT02 | Other | CT | ANTHEM |
| 6296191 | Other | CT | UNITED BEHAVIORAL HEALTH |
| A3463246 | Other | CT | OXFORD |
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 |
|---|---|---|---|
| 004785 | CT | MD | Clinical Social Worker |
| 4785 | CT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124120357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MIDLAND RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113233",
"telephone_number": "203-268-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 DURHAM RD",
"address_2": "SUITE 31",
"city": "MADISON",
"state": "CT",
"postal_code": "064432677",
"telephone_number": "203-245-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUCK",
"first_name": "CLAUDETTE",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "004785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2172638",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "285942",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "528411",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140004785CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6296191",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A3463246",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.