Dover Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DOVER COUNSELING CENTER LLC

Practice address

190 Dover St Ste 3
New Haven, CT 06513-4817

Phone

(203) 350-3800

Fax

(866) 371-8103

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Robert NesbittNPI 1912225798

Title

LCSW, Owner of Dover Counseling

Phone

(914) 217-0018

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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

• Robert James Nesbitt Jr., MSW

  • Social Worker
  • Brooklyn, NY
  • NPI 1912225798

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1447840350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 DOVER ST STE 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 DOVER ST STE 3",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134817",
            "telephone_number": "203-350-3800",
            "fax_number": "866-371-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVER COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LCSW, OWNER OF DOVER COUNSELING",
        "authorized_official_telephone_number": "914-217-0018"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Leigh Doudounis
• Leslie Douglas-Churchwell, M.D.
• Heather E Douglas-Palumberi, M.A.
• Audrey Ellen Douglas, P.A.
• Andres Felipe Doval, MD
• Kenton Lane Dover, MD
• Justin Andrew Dower
• Ellen Elizabeth Dowers
• Janeka Downer
• Mary Doyle-Fritz, L.C.S.W

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, 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 Jan 25, 2021; 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.