Talk Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TALK THERAPY LLC

Practice address

10 Cyrus LN
Bloomfield, CT 06002-3042

Phone

(860) 983-5100

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

TALK THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Omar Lorenzo Green, LCSWNPI 1063843845

Title

LCSW/Owner

Phone

(860) 983-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Talk Therapy LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Omar Green, MSW

  • Clinical Social Worker
  • Meriden, CT
  • NPI 1063843845
  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1174155907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CYRUS LN",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023042",
            "telephone_number": "860-983-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CYRUS LN",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023042",
            "telephone_number": "860-983-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALK THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALK THERAPY LLC",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "860-983-5100",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063843845",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Stuck
• Deborah Sutliff, COTA
• Eileen A Sytnyk, CRNP
• Ronald Szabo, MD
• Valerie H Taff, RPT
• Tallawah Mental Health Associates PLLC
• Barbara J Tarkin, PH.D.
• Gregory Warwick Taylor, MD
• Kimberly Teahan
• Robin C Tedesco, PA-C

• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.