Individual provider Active NPI

Allison R Goduti, LCSW

  • Clinical Social Worker
  • Monroe, CT
National Provider Identifier
1598101271
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8319 Issued in CT
Practice address
755 Main St
Monroe, CT 06468-2830
Phone
(203) 990-1215
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8319 CT Primary

Addresses

Primary practice location

755 Main St
Monroe, CT 06468-2830

Mailing address

755 Main St
Monroe, CT 06468-2830
Phone (203) 990-1215

Other practice location 1

36 Sheffield Street
Waterbury, CT 06470
Phone (203) 596-9724 ext. 230

Other names 1

  • Allison Hennon Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8319CTMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: allison.hennon.p1@direct.wheelerclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1598101271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MAIN ST",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682830",
            "telephone_number": "203-990-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MAIN ST",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682830",
            "telephone_number": "203-990-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Sheffield Street",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "06470",
            "country_code": "US",
            "telephone_number": "203-596-9724 x230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODUTI",
        "first_name": "ALLISON",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "HENNON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.