Christina M Cicero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010853 Issued in CT

Practice address

27 Sycamore Rd
Bloomfield, CT 06002-2516

Phone

(860) 803-7982

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1336581479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SYCAMORE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022516",
            "telephone_number": "860-803-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SYCAMORE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022516",
            "telephone_number": "860-803-7982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 East St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060622367",
            "country_code": "US",
            "telephone_number": "860-803-7982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICERO",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY OR INSURANCE",
            "identifier": "85-0568215",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raxine Avis Christie-Campbell, APRN
• Nica F Chua
• Church Home of Hartford, Inc (Seabury)
• Church Home of Hartford, Inc. (Seabury Visiting Nurses)
• Ceylon Marie Cicero, N.D.
• Clear Choice Lab, LLC
• Clear Sky Therapy Services LLC
• Anastasia Climan, RDN
• Gary Cohen, MD
• Coleen Dobo PSYD LLC

• Clinical Social Worker in Bloomfield, CT
• Providers in Bloomfield, 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 Aug 5, 2020; 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.