Nutmeg Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006991 Issued in CT

Legal business name

NUTMEG COUNSELING SERVICES, LLC

Practice address

41 Middletown Ave
2ND Floor
North Haven, CT 06473-3926

Phone

(475) 238-8229

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Irene B Bosco, LCSWNPI 1942537279

Title

Managing Member

Phone

(475) 238-8229

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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.

• Irene Bosco

  • Clinical Social Worker
  • East Berlin, CT
  • NPI 1942537279
  Medicare reassignment NPD Authorized official
• Julius Lavaughn Stone Sr., LCSW

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1508006164
  Medicare reassignment NPD
• Caitlin McGinnis

  • Clinical Social Worker
  • North Haven, CT
  • NPI 1134870124
  NPD

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1215472527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MIDDLETOWN AVE",
            "address_2": "2ND FLOOR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MIDDLETOWN AVE",
            "address_2": "2ND FLOOR",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733926",
            "telephone_number": "475-238-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTMEG COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "BOSCO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "475-238-8229",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CT",
            "license": "002047",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northhavenfamilydental
• Megan Nosol, M.S., M.S.ED., MHS
• Nova Dental LLC
• Nova Neuropsychology LLC
• Maria Nunley, LPC, LADC
• Nutmeg Medical Supply Inc (Nutmeg Medical Supply)
• Nutrtional Health Center
• Katie O'Connor
• Chioma N Odukwe Enu, D.P.M
• Azeez O Oladejo, PHARM.D

• Clinical Social Worker in North Haven, CT
• Providers in North Haven, 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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.