Pedro E. Segarra

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003180 Issued in CT

Legal business name

PEDRO E. SEGARRA

Practice address

760 Prospect Avenue
Hartford, CT 06105

Phone

(860) 805-2400

Fax

(860) 570-0195

NPI assigned

Mar 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Ernesto Segarra, LMSW

Title

Masters Level Social Worker

Phone

(860) 805-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1609238245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 PROSPECT AVENUE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-805-2400",
            "fax_number": "860-570-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PROSPECT AVENUE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-805-2400",
            "fax_number": "860-570-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO E. SEGARRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "SEGARRA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "MASTERS LEVEL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-805-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Cardiology Associates, LLC
• Pediatric Health Associates PC.
• Justin Matthew Pedneault, BSN, RN, CFRN, FP-C
• Kevin Louis Pedneault, PA-C
• Ronald Pedonti
• Stephen R Pedro, D.C.
• Samantha Gean Peek, APRN FNP-C
• Jennifer Ann Pelletier, A.P.R.N
• Lauren E Pelletier, MSW
• Samantha Alyssa Pelow, APRN

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, 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 Mar 23, 2016; 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.