Organization Active NPI

NTW Behavioral Health Services LLC

  • Clinical Social Worker
  • Bloomfield, CT
National Provider Identifier
1356834618
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008424 Issued in CT
Legal business name
NTW BEHAVIORAL HEALTH SERVICES LLC
Practice address
50 Jackson Rd
Bloomfield, CT 06002-3927
Phone
(860) 878-1116
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Miss Nadine Tenneise Williams, LCSW
Title
Member
Phone
(860) 878-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 008424 CT Primary

Addresses

Primary practice location

50 Jackson Rd
Bloomfield, CT 06002-3927

Mailing address

50 Jackson Rd
Bloomfield, CT 06002-3927
Phone (860) 878-1116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1356834618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 JACKSON RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023927",
            "telephone_number": "860-878-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JACKSON RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023927",
            "telephone_number": "860-878-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTW BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "TENNEISE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-878-1116",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.