Individual provider Active NPI

Christopher Rancourt, LMSW

  • Social Worker
  • New Milford, CT
National Provider Identifier
1629531702
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
001813 Issued in CT
Practice address
56 Danbury Rd Ste 8
New Milford, CT 06776-3434
Phone
(860) 740-2228
NPI assigned
Apr 7, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 001813 CT Primary

Addresses

Primary practice location

56 Danbury Rd Ste 8
New Milford, CT 06776-3434

Mailing address

56 Danbury Rd Ste 8
New Milford, CT 06776-3434
Phone (860) 740-2228

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
001813CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1629531702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DANBURY RD STE 8",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763434",
            "telephone_number": "860-740-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DANBURY RD STE 8",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763434",
            "telephone_number": "860-740-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANCOURT",
        "first_name": "CHRISTOPHER",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "001813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.