NPIMap

Organization Active NPI

Creating Connections Together, LCSW,PLLC

  • Early Intervention Provider Agency
  • Poughquag, NY
National Provider Identifier
1720214182
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
069872-1 Issued in NY
Legal business name
CREATING CONNECTIONS TOGETHER, LCSW,PLLC
Practice address
19 Rose St
Poughquag, NY 12570-5733
Phone
(845) 227-6574
Fax
(845) 227-7450
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Ms. Joann Mazzocchi-Fleitz, LCSW-RNPI 1851540991
Title
Director
Phone
(845) 227-6574

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 069872-1 NY Primary

Addresses

Primary practice location

19 Rose St
Poughquag, NY 12570-5733

Mailing address

19 Rose St
Poughquag, NY 12570-5733
Phone (845) 227-6574

National Provider Directory

National Provider Directory
Tax ID family
Creating Connections Together LCSW PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1720214182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROSE ST",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705733",
            "telephone_number": "845-227-6574",
            "fax_number": "845-227-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ROSE ST",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705733",
            "telephone_number": "845-227-6574",
            "fax_number": "845-227-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING CONNECTIONS TOGETHER, LCSW,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "MAZZOCCHI-FLEITZ",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-227-6574",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "069872-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughquag, NY

Sources for this page

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