Organization Active NPI

Julia L. Israelski, LCSW, LLC

  • Clinical Social Worker
  • Old Saybrook, CT
National Provider Identifier
1174872535
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007226 Issued in CT
Legal business name
JULIA L. ISRAELSKI, LCSW, LLC
Practice address
954 Middlesex Tpke
Suite A2
Old Saybrook, CT 06475-1302
Phone
(860) 575-8074
NPI assigned
Aug 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Authorized official

Name
Ms. Julia Israelski, LCSW
Title
Licensed Clinical Social Worker
Phone
(516) 567-4727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007226 CT Primary

Addresses

Primary practice location

954 Middlesex Tpke
Suite A2
Old Saybrook, CT 06475-1302

Mailing address

8 Mitchel Ter
Ivoryton, CT 06442-1024
Phone (516) 567-4727

Other identifiers 1

IdentifierTypeStateIssuer
1114175874OtherCTNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

954 Middlesex Tpke
Ste A2
Old Saybrook, CT 06475
Phone (860) 388-5900

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1174872535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MITCHEL TER",
            "city": "IVORYTON",
            "state": "CT",
            "postal_code": "064421024",
            "telephone_number": "516-567-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 MIDDLESEX TPKE",
            "address_2": "SUITE A2",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751302",
            "telephone_number": "860-575-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA L. ISRAELSKI, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "ISRAELSKI",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "516-567-4727",
        "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": "007226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1114175874",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.