Organization Active NPI

Elizabeth Citron, LCSW, LLC

  • Clinical Social Worker
  • Newington, CT
National Provider Identifier
1265023519
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ELIZABETH CITRON, LCSW, LLC
Practice address
142 School House Rd
Newington, CT 06111-4036
Phone
(860) 463-4045
NPI assigned
Jan 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Authorized official

Name
Ms. Elizabeth Citron, LCSWNPI 1558964197
Title
Licensed Clinical Social Worker
Phone
(860) 463-4045

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

142 School House Rd
Newington, CT 06111-4036

Mailing address

142 School House Rd
Newington, CT 06111-4036
Phone (860) 463-4045

Other identifiers 1

IdentifierTypeStateIssuer
1558964197MedicaidCT

Other names 1

  • Elizabeth Citron LCSW LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611878400000",
    "number": "1265023519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SCHOOL HOUSE RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114036",
            "telephone_number": "860-463-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SCHOOL HOUSE RD",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114036",
            "telephone_number": "860-463-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH CITRON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A",
        "authorized_official_last_name": "CITRON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-463-4045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558964197",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth Citron LCSW LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.