Individual provider Active NPI

Denisa Emilia Ciucci, LMSW

  • Clinical Social Worker
  • Prospect, CT
National Provider Identifier
1376941625
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000023 Issued in CT
Practice address
39A Waterbury Rd
Prospect, CT 06712-1249
Phone
(203) 758-3570
NPI assigned
Dec 17, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000023 CT Primary

Addresses

Primary practice location

39A Waterbury Rd
Prospect, CT 06712-1249

Mailing address

68 Rosemount Ave
Waterbury, CT 06708-3616
Phone (203) 707-7177

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000023CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling of Greater Waterbury Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1376941625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 ROSEMOUNT AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083616",
            "telephone_number": "203-707-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39A WATERBURY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121249",
            "telephone_number": "203-758-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUCCI",
        "first_name": "DENISA",
        "middle_name": "EMILIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.