Stillpoint

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005715 Issued in CT

Legal business name

STILLPOINT

Practice address

66 Colonial Rd
Watertown, CT 06795-3106

Phone

(860) 417-9119

Fax

(860) 274-1418

NPI assigned

Aug 29, 2009

Organization subpart

No

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

Authorized official

Name

Leslie Swiderski, LCSW

Title

Vice President

Phone

(860) 417-9119

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1720211329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COLONIAL RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953106",
            "telephone_number": "860-417-9119",
            "fax_number": "860-274-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COLONIAL RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953106",
            "telephone_number": "860-417-9119",
            "fax_number": "860-274-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "SWIDERSKI",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-417-9119",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005715",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "001668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Watertown, CT
• Providers in Watertown, 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 Aug 29, 2009; 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.