Clinical Social Work Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003747 Issued in CT

Legal business name

CLINICAL SOCIAL WORK SERVICES LLC

Practice address

20 Laurel Crest Rd
Madison, CT 06443-3344

Phone

(203) 500-0296

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Rivera, LCSWNPI 1609129790

Title

Owner/Social Worker

Phone

(203) 500-0296

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene Rivera, MSW

  • Clinical Social Worker
  • Madison, CT
  • NPI 1609129790
  Authorized official Same address or phone

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1366783045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAUREL CREST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433344",
            "telephone_number": "203-500-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAUREL CREST RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433344",
            "telephone_number": "203-500-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SOCIAL WORK SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "203-500-0296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Madison, CT
• Providers in Madison, 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 Mar 6, 2013; 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.