Dina Boctor LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DINA BOCTOR LLC

Practice address

475 S Main St Ste 3
Cheshire, CT 06410-3164

Phone

(860) 985-8751

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Dina F Boctor, LCSWNPI 1144432154

Title

Licensed Clinical Social Worker

Phone

(860) 985-8751

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dina F Boctor, MSW

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1144432154
  NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1194359190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SYLVAN AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071735",
            "telephone_number": "860-985-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S MAIN ST STE 3",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103164",
            "telephone_number": "860-985-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINA BOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "BOCTOR",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-985-8751",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, 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 27, 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.