Active NPI
Paradigms LLC
- Clinical Social Worker
- Newington, CT
National Provider Identifier
1184823791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005782
- Legal business name
- PARADIGMS LLC
- Practice address
- 705 N Mountain Rd
A220
Newington, CT 06111-1412 - Phone
- (860) 922-4167
- NPI assigned
- Jul 13, 2007
- 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. Edwina Walker, LCSW
- Title
- Owner/Operator
- Phone
- (860) 548-0854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005782 | CT | Primary |
Addresses
Primary practice location
705 N Mountain Rd
A220
Newington, CT 06111-1412
Mailing address
705 N Mountain Rd
A220
Newington, CT 06111-1412
Phone (860) 922-4167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11667127 | Other | CT | CAQH |
National Provider Directory
National Provider Directory- Tax ID family
- Paradigms LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- New Britain, CT
- NPI 1902099849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1184823791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N MOUNTAIN RD",
"address_2": "A220",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061111412",
"telephone_number": "860-922-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N MOUNTAIN RD",
"address_2": "A220",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061111412",
"telephone_number": "860-922-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADIGMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "EDWINA",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "860-548-0854",
"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": "005782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11667127",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.