Families on the Line, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FAMILIES ON THE LINE, LLC

Practice address

129 Church St Ste 807
New Haven, CT 06510-2005

Phone

(203) 981-0113

NPI assigned

Aug 15, 2019

Last updated

Aug 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marie-Paule Lopez de Valdivia, LCSWNPI 1588044879

Title

Program Director

Phone

(203) 981-0113

Specialties & licenses 3

Addresses

Locations

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.

• Marie-Paule Lopez de Valdivia, LCSW

  • Clinical Social Worker
  • Stratford, CT
  • NPI 1588044879
  Authorized official Same address or phone

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1598311599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 HIGH ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068244015",
            "telephone_number": "203-981-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CHURCH ST STE 807",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102005",
            "telephone_number": "203-981-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES ON THE LINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DE VALDIVIA",
        "authorized_official_first_name": "MARIE-PAULE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "203-981-0113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guido Jose Falcone, MD, SCD, MPH
• Eric Falke
• Caroline Greenberg Falker, M.D.
• Lisa Fallahi, PT, DPT
• Keelin Cristen Fallon
• Family Centered Services of CT
• Eric Fan, M.D.
• Kathleen Fan, MD
• Courtney Fankhanel
• Erin Fannon

• Clinical Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.