Active NPI
Allison R Goduti, LCSW
- Clinical Social Worker
- Monroe, CT
National Provider Identifier
1598101271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8319 | CT | MD | Clinical Social Worker |
Interoperability endpoints
- 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.