Christine Ann Nucci, MS, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

010597 Issued in CT

Practice address

14 Union St
Deep River, CT 06417-2010

Phone

(860) 304-0325

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Lower Valley Psychotherapy Services LLC

  • Clinical Social Worker
  • Deep River, CT
  • NPI 1689206815

  Clinical, CT

  Medicare reassignment NPD Authorized official
• Impact Health P.C.

  • Nurse Practitioner
  • Orange, CT
  • NPI 1730694316

  CT

  Medicare reassignment NPD
• Sunrise Psychological Services LLC

  • Psychologist
  • Prospect, CT
  • NPI 1699199869

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1386204238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 UNION ST",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "064172010",
            "telephone_number": "860-304-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 UNION ST",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "064172010",
            "telephone_number": "860-304-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCCI",
        "first_name": "CHRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "custodymediation1@gmail.com",
            "affiliation": "N",
            "address_1": "14 Union St",
            "city": "Deep River",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064172010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Liddle, LPC
• Lower Valley Psychotherapy Services LLC
• Robert George Madden, LCSW
• Susan E Mosca, MS,CCC-SLP
• Meredith Newman, MFT
• Gail M. Onofrio, M.S.
• Pastimes Adult Day Center
• Sarsvati Patel, PHARMD
• Carrie Lynn Potoff, LCSW
• Gengi Gunn Proteau

• All providers in Deep River, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.