FSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

000201 Issued in CT

Legal business name

FSW

Practice address

475 Clinton Ave
Bridgeport, CT 06605-1700

Phone

(203) 368-4291

Fax

(203) 368-1239

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Frank Farias

Title

Chief Financial & HR Officer

Phone

(203) 368-4291

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Fairfield Counseling Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• FSW,Inc.

  • Community/Behavioral Health Agency
  • Bridgeport, CT
  • NPI 1124239652
  NPD tax ID
• Lifebridge Community Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfield, CT
  • NPI 1750378667
  NPD tax ID
• Lifebridge Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1922006923
  NPD tax ID

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1568679967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051700",
            "telephone_number": "203-368-4291",
            "fax_number": "203-368-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051700",
            "telephone_number": "203-368-4291",
            "fax_number": "203-368-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL & HR OFFICER",
        "authorized_official_telephone_number": "203-368-4291"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "000201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP#",
            "identifier": "C01300",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah H Friedland, LCSW
• Mark L Friedman, MD
• Ruth Frohlinger
• Bruno Salvatore Frustace, MD
• FST Lab, LLC
• FSW,Inc.
• Katrina Oberio Fuentes, RN
• Gail Fulco-Tantorski, PA-C
• Full Circle Youth Empowerment
• Gena Fuller, ATC/L

• Community/Behavioral Health Agency in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.