Priscilla Pandozzi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005115 Issued in CT

Practice address

29 Willowbrook Rd
East Hartford, CT 06118-1842

Phone

(860) 709-6810

NPI assigned

Apr 4, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Integrated Health Services, Inc.

  • Primary Care Clinic/Center
  • East Hartford, CT
  • NPI 1720250624
  NPD (past)

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1356769582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082791",
            "telephone_number": "860-291-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WILLOWBROOK RD",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181842",
            "telephone_number": "860-709-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOZZI",
        "first_name": "PRISCILLA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Owusu
• Paces Counseling Associates, Inc.
• Jacqueline L Paige, RPH
• Alexandra Rose Paindiris, MA, BCBA
• Monique Marie Palmer
• Konstantia Evangelia Papapateras, RDN, CD-N
• Marc Andre Paradis, M.D.
• Dajia Parham-Wiggins
• Christopher Parker
• Parnian Pasandeh, DDS

• Clinical Social Worker in East Hartford, CT
• Providers in East Hartford, 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 Apr 4, 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.