Marie Susan Davila, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000668 Issued in CT

Legal business name

MARIE SUSAN DAVILA, LCSW

Practice address

35 Cold Spring Rd
BLDG 100 Ste 124
Rocky Hill, CT 06067-3160

Phone

(860) 563-0013

Fax

(860) 529-1973

NPI assigned

Nov 27, 2007

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marie Susan Davila, LCSW

Title

Owner

Phone

(860) 563-0013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1366623894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD",
            "address_2": "BLDG 100 STE 124",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673160",
            "telephone_number": "860-563-0013",
            "fax_number": "860-529-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLD SPRING RD",
            "address_2": "BLDG 100 STE 124",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673160",
            "telephone_number": "860-563-0013",
            "fax_number": "860-529-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE SUSAN DAVILA, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-563-0013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Rocky Hill, CT
• Providers in Rocky Hill, 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 Nov 28, 2007; 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.