Stallworth Counseling Services,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STALLWORTH COUNSELING SERVICES,LLC

Practice address

77 Chapman Ave FL 3
Waterbury, CT 06710-1309

Phone

(203) 568-5662

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Marcus A Stallworth, MSWNPI 1992103204

Title

Owner

Phone

(203) 568-5662

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Allen Stallworth, LMSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1992103204
  NPD (past) Authorized official

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1689071417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SNOW CRYSTAL RD",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067703527",
            "telephone_number": "203-568-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CHAPMAN AVE FL 3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067101309",
            "telephone_number": "203-568-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLWORTH COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-568-5662",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Mary'S Hospital
• St. Francis Medical Equipment & Surgical Supply
• St. Mary'S Hospital
• St. Vincent Depaul Mission of Waterbury, Inc.
• Amy Marie Stack, LPC
• Marcus Allen Stallworth, LMSW
• Marissa L Stankus, PA-C
• Joseph Stanley
• Sarah E. Starbird, LCSW
• Tracy Starbird, LPC

• Community/Behavioral Health Agency in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.