Organization Active NPI

Hope Clinical Services, LLC

  • Clinical Social Worker
  • South Windsor, CT
National Provider Identifier
1316454705
Registry record updated Jan 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
009575 Issued in CT
Legal business name
HOPE CLINICAL SERVICES, LLC
Practice address
435 Buckland Rd
South Windsor, CT 06074-3720
Phone
(860) 975-9484
NPI assigned
Jan 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2018

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

Authorized official

Name
Ms. Janice L Shields, LCSW
Title
Licensed Clinical Social Worker
Phone
(860) 967-1175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 009575 CT Primary

Addresses

Primary practice location

435 Buckland Rd
South Windsor, CT 06074-3720

Mailing address

4 Wakefield Cir
East Hartford, CT 06118-1622
Phone (860) 967-1175

Other identifiers 1

IdentifierTypeStateIssuer
088069530MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515283200000",
    "number": "1316454705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WAKEFIELD CIR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181622",
            "telephone_number": "860-967-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743720",
            "telephone_number": "860-975-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-01-07",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-967-1175",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088069530",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2018; 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.