Organization Active NPI

Cynthia L. Sarris, LCSW, PA

  • Clinical Social Worker
  • Killingworth, CT
National Provider Identifier
1477937282
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006192 Issued in CT
Legal business name
CYNTHIA L. SARRIS, LCSW, PA
Practice address
166 Route 81
Killingworth, CT 06419-1481
Phone
(860) 395-9110
Fax
(860) 663-2629
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Cynthia Lee Sarris, LCSWNPI 1922119114
Title
Psychotherapist
Phone
(860) 395-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 006192 CT Primary

Addresses

Primary practice location

166 Route 81
Killingworth, CT 06419-1481

Mailing address

46 Granite Hill Rd
Killingworth, CT 06419-2211
Phone (860) 395-9110

National Provider Directory

National Provider Directory
Tax ID family
Cynthia L Sarris LCSW PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1477937282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GRANITE HILL RD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064192211",
            "telephone_number": "860-395-9110",
            "fax_number": "860-663-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 ROUTE 81",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191481",
            "telephone_number": "860-395-9110",
            "fax_number": "860-663-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA L. SARRIS, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "SARRIS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "860-395-9110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killingworth, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.