Lower Valley Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOWER VALLEY PSYCHOTHERAPY SERVICES LLC

Practice address

14 Union St
Deep River, CT 06417-2010

Phone

(860) 304-0325

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Nucci, LCSWNPI 1386204238

Title

Owner

Phone

(860) 304-0325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Christine Ann Nucci, MS, LCSW

  • Clinical Social Worker
  • Deep River, CT
  • NPI 1386204238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1689206815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 UNION ST",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "064172010",
            "telephone_number": "860-304-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 UNION ST",
            "city": "DEEP RIVER",
            "state": "CT",
            "postal_code": "064172010",
            "telephone_number": "860-304-0325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 E Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "CT",
            "postal_code": "064132245",
            "country_code": "US",
            "telephone_number": "860-304-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOWER VALLEY PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NUCCI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-304-0325",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Hayes
• Tara Hubbard, PHARMD
• Kathy M Kalista, RPH
• Kyle Kyoungroh Lee
• Patrick Liddle, LPC
• Robert George Madden, LCSW
• Susan E Mosca, MS,CCC-SLP
• Meredith Newman, MFT
• Christine Ann Nucci, MS, LCSW
• Gail M. Onofrio, M.S.

• Clinical Social Worker in Deep River, CT
• Providers in Deep River, 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 Feb 5, 2020; 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.