NPIMap

Organization Active NPI

Mla Counseling Services LLC

  • Clinical Social Worker
  • Glastonbury, CT
National Provider Identifier
1184033003
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007855 Issued in CT
Legal business name
MLA COUNSELING SERVICES LLC
Practice address
155 Sycamore St
Glastonbury, CT 06033-4548
Phone
(860) 759-8512
Fax
(860) 759-3713
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Maria L Aresco, LCSWNPI 1558528539
Title
Owner
Phone
(860) 759-8512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007855 CT Primary

Addresses

Primary practice location

155 Sycamore St
Glastonbury, CT 06033-4548

Mailing address

155 Sycamore St
Glastonbury, CT 06033-4548
Phone (860) 759-8512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1184033003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SYCAMORE ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334548",
            "telephone_number": "860-759-8512",
            "fax_number": "860-759-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SYCAMORE ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334548",
            "telephone_number": "860-759-8512",
            "fax_number": "860-759-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLA COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "ARESCO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-759-8512",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.