NPIMap

Organization Active NPI

Connections Counseling, LLC

  • Clinical Social Worker
  • Branford, CT
National Provider Identifier
1609325612
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004435 Issued in CT
Legal business name
CONNECTIONS COUNSELING, LLC
Practice address
847 W Main St
Suite 3
Branford, CT 06405-3455
Phone
(203) 208-2911
NPI assigned
Oct 3, 2016
Last updated
Oct 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Ms. Nina Martin, LCSWNPI 1265743355
Title
Owner
Phone
(203) 208-2911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004435 CT Primary

Addresses

Primary practice location

847 W Main St
Suite 3
Branford, CT 06405-3455

Mailing address

847 W Main St
Suite 3
Branford, CT 06405-3455
Phone (203) 208-2911

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XMedicaidCT

Other names 1

  • Nina Martin, LCSW Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1609325612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053455",
            "telephone_number": "203-208-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053455",
            "telephone_number": "203-208-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-208-2911",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nina Martin, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.