Organization Active NPI

Seniel Lucien LLC

  • Clinical Social Worker
  • W Hartford, CT
National Provider Identifier
1689076630
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006341 Issued in CT
Legal business name
SENIEL LUCIEN LLC
Practice address
805 Farmington Ave.
#5
W. Hartford, CT 06119-1670
Phone
(860) 526-8109
Fax
(860) 526-8109
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Seniel Lucien, LCSW, PH.D.NPI 1346466729
Title
Owner/Sole Proprietor
Phone
(860) 526-8109

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 006341 CT Primary
Psychoanalyst 102L00000X 000751 NY

Addresses

Primary practice location

805 Farmington Ave.
#5
W. Hartford, CT 06119-1670

Mailing address

805 Farmington Ave.
#5
W. Hartford, CT 06119-1670
Phone (860) 526-8109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215000020 CT Part B Supplier - Clinic/Group Practice 8921320367 Receives reassigned benefits from 1 practitioner
Practice locations: Essex, CT; West Hartford, CT

National Provider Directory

National Provider Directory

Locations

805 Farmington Ave
Ste 5
West Hartford, CT 06119
Phone (860) 526-8109

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": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1689076630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 FARMINGTON AVE.",
            "address_2": "#5",
            "city": "W. HARTFORD",
            "state": "CT",
            "postal_code": "061191670",
            "telephone_number": "860-526-8109",
            "fax_number": "860-526-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FARMINGTON AVE.",
            "address_2": "#5",
            "city": "W. HARTFORD",
            "state": "CT",
            "postal_code": "061191670",
            "telephone_number": "860-526-8109",
            "fax_number": "860-526-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIEL LUCIEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "LUCIEN",
        "authorized_official_first_name": "SENIEL",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "860-526-8109",
        "authorized_official_credential": "LCSW, PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006341",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.