Connecticut Valley Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8959 Issued in CT

Legal business name

CONNECTICUT VALLEY COUNSELING LLC

Practice address

360 Main St # 2B
Middletown, CT 06457-3375

Phone

(860) 799-1441

NPI assigned

May 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Ever Peaceful Weiss, LCSW

Title

Clinician

Phone

(860) 970-8006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1639660723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAIN ST # 2B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573375",
            "telephone_number": "860-799-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAIN ST # 2B",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573375",
            "telephone_number": "860-799-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT VALLEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "EVER",
        "authorized_official_middle_name": "PEACEFUL",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-970-8006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Middletown, CT
• Providers in Middletown, 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 May 23, 2018; 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.