Trinity Haswell – Clinical Social Worker

Key facts

NPI: 1497517296
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 13635 (CT)
Practice address: 65 Redding Road
Georgetown, CT 06829-0807
Phone: (203) 583-0905
NPI assigned: Jan 26, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

TH Psychotherapy, LLC Community/Behavioral Health Agency · Redding, CT · NPI 1639992845

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
13635	CT	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
TH Psychotherapy, LLC		Current since Nov 10, 2024	Accepting new patients

Locations

65 Redding Rd
Unit 807
Georgetown, CT 06829

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	13635	CT	Yes

Addresses

Primary practice location

65 Redding Road
Georgetown, CT 06829-0807

Mailing address

65 Redding Road, #807
Georgetown, CT 06829-0807

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 26, 2024.

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1497517296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 REDDING ROAD, #807",
            "city": "GEORGETOWN",
            "state": "CT",
            "postal_code": "068290807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 REDDING ROAD",
            "city": "GEORGETOWN",
            "state": "CT",
            "postal_code": "068290807",
            "telephone_number": "203-583-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASWELL",
        "first_name": "TRINITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, CT

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.