NPIMap

Organization Active NPI

Connecticut Junior Republic Association Inc.

  • Clinical Social Worker
  • Litchfield, CT
National Provider Identifier
1205786274
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CONNECTICUT JUNIOR REPUBLIC ASSOCIATION INC.
Practice address
550 Goshen Road
Litchfield, CT 06759
Phone
(860) 567-9423
NPI assigned
Jan 30, 2026
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CONNECTICUT JUNIOR REPUBLIC ASSOCIATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Mr. Sean Edward Mullaney, LCSWNPI 1396696738
Title
Program Director
Phone
(203) 802-3280

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 Primary

Addresses

Primary practice location

550 Goshen Road
Litchfield, CT 06759

Mailing address

47 Douglas Road
Bristol, CT 06010
Phone (860) 944-4369

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2311577Connecticut Junior Republic Association550 Goshen Road, Litchfield, CT 06759Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Junior Republic Association Inc2 organizations share this tax ID, including this one
Part of
Connecticut Junior Republic Association Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1205786274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DOUGLAS ROAD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-944-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 GOSHEN ROAD",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "06759",
            "telephone_number": "860-567-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT JUNIOR REPUBLIC ASSOCIATION INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT JUNIOR REPUBLIC ASSOCIATION, INC.",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "MULLANEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "203-802-3280",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

Other providers in Litchfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.