Individual provider Active NPI

Patricia Placido, LCSW

  • Clinical Social Worker
  • Danielson, CT
National Provider Identifier
1164764965
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008146 Issued in CT
Practice address
37 Commerce Ave
Danielson, CT 06239-2804
Phone
(860) 774-7179
Fax
(860) 779-6526
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 008146 CT Primary

Addresses

Primary practice location

37 Commerce Ave
Danielson, CT 06239-2804

Mailing address

37 Commerce Ave
Danielson, CT 06239-2804
Phone (860) 774-7179

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

LicenseStateTypeSpecialty
008146CTMDClinical Social Worker
000961CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1164764965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COMMERCE AVE",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392804",
            "telephone_number": "860-774-7179",
            "fax_number": "860-779-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COMMERCE AVE",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392804",
            "telephone_number": "860-774-7179",
            "fax_number": "860-779-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACIDO",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.