Alicia Feller LCSW LLC

Key facts

NPI

1487093050

Entity type

Organization (NPI type 2)

Primary specialty

Clinical Social Worker 1041C0700X

License

005501 (CT)

Legal business name

ALICIA FELLER LCSW LLC

Practice address

1057 Broad St
Suite 304
Bridgeport, CT 06604-4219

Phone

(203) 581-3019

NPI assigned

Jun 17, 2013

Organization subpart

No

Authorized official

Name

Ms. Alicia Feller, LCSW

Title

Owner

Phone

(203) 581-3019

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2013.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1487093050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KINDLE LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182118",
            "telephone_number": "203-581-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 BROAD ST",
            "address_2": "SUITE 304",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044219",
            "telephone_number": "203-581-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA FELLER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "FELLER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-581-3019",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

• Imran Yousuf Ali, MD
• Shazi Ali
• Darlene Alicea
• Ivelise Alicea
• Karen Ann Alicea
• Zaid Mohammad M. Alkhananalka'Abneh, M.D.
• Abed Alkhatib, DMD
• All in Home Care Services, LLC
• All Kids Dental LLC
• All Things Eyes

All providers in Bridgeport, CT · Clinical Social Worker in Connecticut