Individual provider Active NPI

Amy Beth Labinger-Gothers, L.C.S.W.

  • Clinical Social Worker
  • Farmington, CT
National Provider Identifier
1235672171
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002970 Issued in CT
Practice address
5 Forest Park Dr
Farmington, CT 06032-1476
Phone
(860) 678-0323
NPI assigned
Nov 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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 002970 CT Primary

Addresses

Primary practice location

5 Forest Park Dr
Farmington, CT 06032-1476

Mailing address

8 Duffield Dr
West Hartford, CT 06107-1213
Phone (860) 490-9591

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

State licenses

LicenseStateTypeSpecialty
2970CTMDClinical Neuropsychologist
002970CTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480118400000",
    "number": "1235672171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DUFFIELD DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071213",
            "telephone_number": "860-490-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOREST PARK DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321476",
            "telephone_number": "860-678-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABINGER-GOTHERS",
        "first_name": "AMY",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.