Center for Healing Trauma LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CENTER FOR HEALING TRAUMA LLC

Practice address

840 Post Rd E
Westport, CT 06880-5236

Phone

(203) 383-0501

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Elizabeth ModugnoNPI 1851694244

Title

Member/Owner

Phone

(203) 383-0501

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.

• Elizabeth V. Modugno, LCSW

  • Clinical Social Worker
  • Westport, CT
  • NPI 1851694244
  NPD Authorized official

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1477331064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064680086",
            "telephone_number": "203-383-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805236",
            "telephone_number": "203-383-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALING TRAUMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "MODUGNO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "203-383-0501"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Westport, CT
• Providers in Westport, 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 15, 2023; 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.