Active NPI
Maria Storzbach Tupper, MSW, LCSW
- Clinical Social Worker
- New Haven, CT
National Provider Identifier
1154498368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 000468
- Practice address
- 165 Alden Ave
New Haven, CT 06515-2109 - Phone
- (203) 387-7474
- Fax
- (203) 389-1838
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- 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 | 000468 | CT | Primary |
Addresses
Primary practice location
165 Alden Ave
New Haven, CT 06515-2109
Mailing address
165 Alden Ave
New Haven, CT 06515-2109
Phone (203) 387-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140000468CT01 | Other | CT | ANTHEM BC BS |
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 |
|---|---|---|---|
| 000468 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1154498368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ALDEN AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065152109",
"telephone_number": "203-387-7474",
"fax_number": "203-389-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ALDEN AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065152109",
"telephone_number": "203-387-7474",
"fax_number": "203-389-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORZBACH TUPPER",
"first_name": "MARIA",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "000468",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "140000468CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.