Individual provider Active NPI

Arden Church, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1245716109
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11063 Issued in CT
Practice address
91 East Ave
Norwalk, CT 06851-5020
Phone
(203) 293-8802
NPI assigned
Jul 13, 2018
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3455 CT
Clinical Social Worker 1041C0700X 11063 CT Primary

Addresses

Primary practice location

91 East Ave
Norwalk, CT 06851-5020

Mailing address

33 Harriet St
Norwalk, CT 06851-3605
Phone (203) 858-0043

Other practice location 1

2505 Main Street
Stationhouse Square, Suite 231
Stratford, CT 06615-5839
Phone (203) 375-5782 ext. 62

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
11063CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Growth Concepts, Inc. Clinical PastSince Jan 24, 2018 Accepting new patients

Organizations & group practices 1

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1245716109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HARRIET ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513605",
            "telephone_number": "203-858-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515020",
            "telephone_number": "203-293-8802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2505 Main Street",
            "address_2": "Stationhouse Square, Suite 231",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066155839",
            "country_code": "US",
            "telephone_number": "203-375-5782 x62",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ARDEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "3455",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.