Resurgence Surviving 2 Thriving

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESURGENCE SURVIVING 2 THRIVING

Practice address

101 Cypress St
Bristol, CT 06010

Phone

(860) 989-1602

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Marissa Corry

Title

LCSW

Phone

(860) 989-1602

Specialties & licenses 1

Addresses

Other names 1

• Resurgence Surviving 2 Thriving Former legal business name

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1265154017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CYPRESS ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-989-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CYPRESS ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-989-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE SURVIVING 2 THRIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "CORRY",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "860-989-1602"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurgence Surviving 2 Thriving",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Jeanne Rice, LCSW
• Linda Rich, LCSW

• Clinical Social Worker in Bristol, CT
• Providers in Bristol, 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 Sep 16, 2022; 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.