Organization Active NPI

Gail P Andersen

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1497054787
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004201 Issued in CT
Legal business name
GAIL P ANDERSEN
Practice address
7 0LD Sherman Tpke.
Suite 102
Danbury, CT 06810-4174
Phone
(203) 826-9262
Fax
(203) 205-0920
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

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

Authorized official

Name
Gail P Andersen, LCSW
Title
Owner
Phone
(203) 826-9262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 004201 CT Primary

Addresses

Primary practice location

7 0LD Sherman Tpke.
Suite 102
Danbury, CT 06810-4174

Mailing address

7 0LD Sherman Tpke.
Suite 102
Danbury, CT 06810-4174
Phone (203) 826-9262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1497054787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 0LD SHERMAN TPKE.",
            "address_2": "SUITE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104174",
            "telephone_number": "203-826-9262",
            "fax_number": "203-205-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 0LD SHERMAN TPKE.",
            "address_2": "SUITE 102",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104174",
            "telephone_number": "203-826-9262",
            "fax_number": "203-205-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL P ANDERSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-826-9262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; 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.