Active NPI
Robert Joseph Hurley, LCSW
- Clinical Social Worker
- Stratford, CT
National Provider Identifier
1366414237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1084
- Practice address
- 2505 Main St
Ste 208
Stratford, CT 06615-5813 - Phone
- (203) 386-1977
- Fax
- (203) 386-1977
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1084 | CT | Primary |
Addresses
Primary practice location
2505 Main St
Ste 208
Stratford, CT 06615-5813
Mailing address
54 Rolling Wood Dr
Trumbull, CT 06611-4926
Phone (203) 371-1055
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140001084CT02 | Other | CT | ANTHEM BCBS |
| 079596 | Other | CT | MANAGED HEALTH NETWORK |
| 163613 | Other | CT | VALUE OPTIONS |
| P2537419 | Other | CT | OXFORD HEALTH PLANS |
| 0005556121 | Other | CT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001084 | CT | MD | Professional Counselor |
| 1084 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfullyme Mental Health PLLC | Clinical | Past | Accepting new patients |
| Michael Otoole DNP Aprn LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Stratford, CT
- NPI 1881108496
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stratford, CT
- NPI 1306708235
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366414237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 ROLLING WOOD DR",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114926",
"telephone_number": "203-371-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 MAIN ST",
"address_2": "STE 208",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066155813",
"telephone_number": "203-386-1977",
"fax_number": "203-386-1977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "1084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "140001084CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "079596",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "163613",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2537419",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005556121",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
- Hospital Dental Associates of Connecticut Inc
- Sarah Howard, BCBA
- Nancy D Humphreys, MS, MSW
- Mary Susan Hungerford, A.P.R.N.
- Marsel Huribal, M.D.
- John Joseph Hynes Jr., RPH
- Insight Behavioral Health LLC
- Internal Medicine and Infectious Disease Associated P.C.
- Internal Medicine of Dr.Karkanitsa, LLC
- Intuitive Healing Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.