Active NPI
Choose Your Path Counseling LLC
- Clinical Social Worker
- Southington, CT
National Provider Identifier
1639719545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHOOSE YOUR PATH COUNSELING LLC
- Practice address
- 92 N Summit St Ste 2G
Southington, CT 06489-3000 - Phone
- (860) 948-8178
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie Martin, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (860) 948-8178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
92 N Summit St Ste 2G
Southington, CT 06489-3000
Mailing address
996 Meriden Waterbury Turnpike
3G
Plantsville, CT 06479
Phone (860) 948-8178
National Provider Directory
National Provider DirectoryLocations
92 N Summit St
Ste 2G
Southington, CT 06489
Phone (860) 948-8178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1639719545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "996 MERIDEN WATERBURY TURNPIKE",
"address_2": "3G",
"city": "PLANTSVILLE",
"state": "CT",
"postal_code": "06479",
"telephone_number": "860-948-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 N SUMMIT ST STE 2G",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893000",
"telephone_number": "860-948-8178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOOSE YOUR PATH COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "860-948-8178",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.