Nicole Pradella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

013225 Issued in CT

Practice address

37 Glenbrook Rd Ste 3
Stamford, CT 06902-2913

Phone

(203) 693-4917

NPI assigned

Aug 28, 2020

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tabitha B. Fortt, M.D., LLC

  • Primary Care Clinic/Center
  • Stamford, CT
  • NPI 1235597741
  NPD
• Amy Albero LLC

  dba Revive Center For Wellness

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1992230288
  NPD (past)
• Family Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Stamford, CT
  • NPI 1841750122
  NPD (past)

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1346853298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 AULDWOOD RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027816",
            "telephone_number": "203-219-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GLENBROOK RD STE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022913",
            "telephone_number": "203-693-4917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Auldwood Rd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069027816",
            "country_code": "US",
            "telephone_number": "203-219-8607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADELLA",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "5319",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "013225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Potomac Health of Wyoming PC
• Potomac Health PC
• Cristina Poulos, D.C.
• Bernadette Powell
• Robert Charles Powell, MD
• Zehra Pradhan, D.D.S., M.D.S
• Ashley Jane Prasad
• Lynne Pratt, PT
• Michael Prebeg, DC
• Preferred Footcare LLC

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, 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 Oct 16, 2023; 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.