Organization Active NPI

B&D Counseling Services,LLC

  • Clinical Social Worker
  • Portland, CT
National Provider Identifier
1275935652
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
B&D COUNSELING SERVICES,LLC
Practice address
270 Main St Ste D
Portland, CT 06480-1836
Phone
(860) 894-2384
Fax
(860) 894-2685
NPI assigned
Sep 17, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Diane Fitzgerald-Lockwood, LCSW
Title
Clinical Social Worker
Phone
(860) 894-2384

National Provider Directory

National Provider Directory

Locations

270 Main St
Ste D
Portland, CT 06480
Phone (860) 894-2384

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

NPPES NPI Registry

Primary practice location

270 Main St Ste D
Portland, CT 06480-1836

Mailing address

270 Main St Ste D
Portland, CT 06480-1836
Phone (860) 894-2384

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2014.

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1275935652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 MAIN ST STE D",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801836",
            "telephone_number": "860-894-2384",
            "fax_number": "860-894-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAIN ST STE D",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801836",
            "telephone_number": "860-894-2384",
            "fax_number": "860-894-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&D COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD-LOCKWOOD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-894-2384",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.