Organization Active NPI

Semilla de Esperanza Clinical Services LLC

  • Clinical Social Worker
  • Hamden, CT
National Provider Identifier
1376325803
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SEMILLA DE ESPERANZA CLINICAL SERVICES LLC
Practice address
2911 Dixwell Ave Ste 300B
Hamden, CT 06518-3159
Phone
(475) 441-9533
NPI assigned
Oct 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Izamari Garcia, LCSWNPI 1659757169
Title
Owner/Clinician
Phone
(475) 441-9533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2911 Dixwell Ave Ste 300B
Hamden, CT 06518-3159

Mailing address

2911 Dixwell Ave Ste 300B
Hamden, CT 06518-3159
Phone (475) 441-9533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207001158 CT Part B Supplier - Clinic/Group Practice 6204285968 Receives reassigned benefits from 1 practitioner
Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Locations

2911 Dixwell Ave
Ste 300B
Hamden, CT 06518
Phone (475) 441-9533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1376325803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE STE 300B",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183159",
            "telephone_number": "475-441-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 DIXWELL AVE STE 300B",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183159",
            "telephone_number": "475-441-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMILLA DE ESPERANZA CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IZAMARI",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "475-441-9533",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.