Individual provider Active NPI

Deborah Arundel, LCSW

  • Clinical Social Worker
  • New London, CT
National Provider Identifier
1235389974
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006858 Issued in CT
Practice address
165 State St
Suite 200
New London, CT 06320-6397
Phone
(860) 443-0036
Fax
(860) 443-8940
NPI assigned
Sep 30, 2008
Last updated
Sep 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006858 CT Primary

Addresses

Primary practice location

165 State St
Suite 200
New London, CT 06320-6397

Mailing address

11 Kitemaug Road
Uncasville, CT 06382-2405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy of Southern New England LLC Past Accepting new patients
Sound Community Services, Inc. PastSince Apr 25, 2010 Accepting new patients
Select Behavioral Health, LLC Clinical PastSince Jan 1, 1999 Accepting new patients
Urologic Associates, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1235389974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KITEMAUG ROAD",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 STATE ST",
            "address_2": "SUITE 200",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206397",
            "telephone_number": "860-443-0036",
            "fax_number": "860-443-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARUNDEL",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.