Demetrios Kostas, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005822 Issued in CT

Legal business name

DEMETRIOS KOSTAS, LCSW LLC

Practice address

185 Center St.
Wallingford Psychotherapy Group, LLC
Wallingford, CT 06492

Phone

(203) 265-4580

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Demetrios Kostas, LCSW

Title

Owner

Phone

(203) 265-4580

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1467649459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CENTER ST.",
            "address_2": "WALLINGFORD PSYCHOTHERAPY GROUP, LLC",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTER ST.",
            "address_2": "WALLINGFORD PSYCHOTHERAPY GROUP, LLC",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "06492",
            "telephone_number": "203-265-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRIOS KOSTAS, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "KOSTAS",
        "authorized_official_first_name": "DEMETRIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-265-4580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary J. Dee, M.D.
• Juanita H Dee, APRN
• Richard Delaney, PH.D.
• Ariana Deleon-Daniels, LCSW
• Alison Delucia
• Lauren Mary Dempsey, APRN
• Daniel T. Dennehy, M.D.
• Dental Partners
• Nickolas Denuzzo, PT, DPT
• Dermatology Partners, PLLC

• Clinical Social Worker in Wallingford, CT
• Providers in Wallingford, 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 Oct 3, 2007; 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.