NPIMap

Organization Active NPI

Mary Patricia Dunleavy Counseling Services, LLC

  • Clinical Social Worker
  • Fairfield, CT
National Provider Identifier
1316657620
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MARY PATRICIA DUNLEAVY COUNSELING SERVICES, LLC
Practice address
2 Sherman CT RM 1
Fairfield, CT 06824-5826
Phone
(203) 216-6266
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Mrs. Mary Dunleavy, LCSW
Title
Owner
Phone
(203) 216-6266

Specialties & licenses 1

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

Addresses

Primary practice location

2 Sherman CT RM 1
Fairfield, CT 06824-5826

Mailing address

2 Sherman CT RM 1
Fairfield, CT 06824-5826
Phone (203) 216-6266

National Provider Directory

National Provider Directory

Locations

2 Sherman Ct
Rm 1
Fairfield, CT 06824
Phone (203) 216-6266

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1316657620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHERMAN CT RM 1",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245826",
            "telephone_number": "203-216-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHERMAN CT RM 1",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245826",
            "telephone_number": "203-216-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY PATRICIA DUNLEAVY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "DUNLEAVY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-216-6266",
        "authorized_official_name_prefix": "Mrs.",
        "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 Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.