Linda S Mittenthal LCSW LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

LINDA S MITTENTHAL LCSW LLC

Practice address

1738 Ellington Rd
South Windsor, CT 06074-2773

Phone

(860) 614-0842

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

LINDA S MITTENTHAL LCSW LLCAs reported in NPPES

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

Authorized official

Name

Linda Susan Mittenthal, LCSW

Title

Sole Proprietor

Phone

(860) 517-6633

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Linda S Mittenthal LCSW LLC Other name

Part of

Linda S Mittenthal LCSW LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Linda S Mittenthal LCSW, LLC

  • Mental Health Counselor
  • Glastonbury, CT
  • NPI 1487284683
  NPPES parent name

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1528619038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 ELLINGTON RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742773",
            "telephone_number": "860-614-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 ELLINGTON RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742773",
            "telephone_number": "860-614-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Ellington Rd",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060742773",
            "country_code": "US",
            "telephone_number": "860-614-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINDA S MITTENTHAL LCSW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINDA S MITTENTHAL LCSW LLC",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "MITTENTHAL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "860-517-6633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11590385",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008034075",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda S Mittenthal LCSW LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Leone, MS, SLP-CCC
• Zachary Leone, PA-C
• Sarita J Lewis
• Tracy Marie Lewis, LCSW
• Samuel Li, DDS
• Andrea Little, MD, MBA
• Raymond G London, MD
• Lydia Lormand, D.O.
• Julia Louis, CNM
• Lynn Huong Ly

• Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.