Melissa Gobin, Licsw, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MELISSA GOBIN, LICSW, LCSW LLC

Practice address

64 Gaumond Rd
North Grosvenordale, CT 06255-2009

Phone

(860) 377-8995

NPI assigned

Apr 8, 2022

Last updated

Sep 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Gobin - Borski, LICSW, LCSWNPI 1275733594

Title

Owner

Phone

(860) 377-8995

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.

• Melissa Ann Gobin-Borski, LCSW

  • Clinical Social Worker
  • North Grosvenordale, CT
  • NPI 1275733594
  Authorized official Same address or phone

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1396487674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GAUMOND RD",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062552009",
            "telephone_number": "860-377-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 GAUMOND RD",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062552009",
            "telephone_number": "860-377-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA GOBIN, LICSW, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "GOBIN - BORSKI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-377-8995",
        "authorized_official_credential": "LICSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Flannery Spillane, PT
• Melissa Ann Gobin-Borski, LCSW
• Christina M Labby, PA-C
• Jennifer Ann Martell
• Alyssa J Mawson
• Outpatient Mobile
• Outpatient Mobile Solutions, Inc.
• Jason Ratto, OTR/L
• Tamah P Senosk, M.S., L.S.W.
• The Community Fire Company of North Grosvenordale CT Inc.

• Clinical Social Worker in North Grosvenordale, CT
• Providers in North Grosvenordale, 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 Sep 4, 2024; 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.