Theresa M. Federici, Ed.D, LCSW, LMSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

3157 Issued in CT

Legal business name

THERESA M. FEDERICI, ED.D, LCSW, LMSW

Practice address

91 East Ave
Norwalk, CT 06851-5020

Phone

(203) 529-1602

NPI assigned

Jun 28, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Theresa M. Federici, ED. D, LCSW, LMSW

Title

Clinical Social Worker

Phone

(203) 529-1602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403913600000",
    "number": "1386059319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515020",
            "telephone_number": "203-529-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA M. FEDERICI, ED.D, LCSW, LMSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-28",
        "last_updated": "2014-06-28",
        "status": "A",
        "authorized_official_last_name": "FEDERICI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "203-529-1602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED. D, LCSW, LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.