NPIMap

Organization Active NPI

Anita Weicht, LCSW, LLC

  • Clinical Social Worker
  • Yalesville, CT
National Provider Identifier
1164538112
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004245 Issued in CT
Legal business name
ANITA WEICHT, LCSW, LLC
Practice address
300 Church St RT 68
Yalesville, CT 06492
Phone
(203) 265-7770
Fax
(203) 239-1422
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Ms. Anita Catherine Weicht, LCSW
Title
Clinical Social Worker
Phone
(203) 239-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 004245 CT Primary

Addresses

Primary practice location

300 Church St RT 68
Yalesville, CT 06492

Mailing address

91 Pool Road
North Haven, CT 06473
Phone (203) 265-7770

Other identifiers 1

IdentifierTypeStateIssuer
004243010MedicaidCT

National Provider Directory

National Provider Directory

Locations

300 Church St
#68
Yalesville, CT 06492
Phone (203) 265-7770

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1164538112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 POOL ROAD",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "06473",
            "telephone_number": "203-265-7770",
            "fax_number": "203-239-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST RT 68",
            "city": "YALESVILLE",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-7770",
            "fax_number": "203-239-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA WEICHT, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "WEICHT",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-239-1422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243010",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yalesville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.