Active NPI
Marcia E. Brubeck, LLC
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1497727887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004424
- Legal business name
- MARCIA E. BRUBECK, LLC
- Practice address
- 674 Prospect Ave
3RR
Hartford, CT 06105-4288 - Phone
- (860) 231-1997
- NPI assigned
- Feb 2, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marcia E Brubeck, LCSW
- Title
- Member
- Phone
- (860) 586-8530
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 004424 | CT | Primary |
Addresses
Primary practice location
674 Prospect Ave
3RR
Hartford, CT 06105-4288
Mailing address
114 Somerset St
West Hartford, CT 06110-1861
Phone (860) 586-8530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
674 Prospect Ave
Fl 3
Hartford, CT 06105
Phone (860) 231-1997
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Hartford, CT
- NPI 1962414052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497727887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 SOMERSET ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101861",
"telephone_number": "860-586-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 PROSPECT AVE",
"address_2": "3RR",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054288",
"telephone_number": "860-231-1997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCIA E. BRUBECK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRUBECK",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "860-586-8530",
"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": "004424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.