Active NPI
Julia L. Israelski, LCSW, LLC
- Clinical Social Worker
- Old Saybrook, CT
National Provider Identifier
1174872535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 007226
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114175874 | Other | CT | NPI TYPE 1 |
National Provider Directory
National Provider DirectoryLocations
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.