Active NPI
Sandra L. Tagliaferro, LCSW
- Clinical Social Worker
- Danbury, CT
National Provider Identifier
1730285313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005230
- Practice address
- 121 Logging Trail Rd
Danbury, CT 06811-2627 - Phone
- (203) 942-2343
- Fax
- (203) 942-2343
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005230 | CT | Primary |
Addresses
Primary practice location
121 Logging Trail Rd
Danbury, CT 06811-2627
Mailing address
121 Logging Trail Rd
Danbury, CT 06811-2627
Phone (203) 942-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5230 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Medicine & Counseling Center | Clinical | Current | Accepting new patients |
Locations
72 North St
Ste 103
Danbury, CT 06810
Phone (203) 456-3624
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Danbury, CT
- NPI 1568575348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1730285313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 LOGGING TRAIL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112627",
"telephone_number": "203-942-2343",
"fax_number": "203-942-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 LOGGING TRAIL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068112627",
"telephone_number": "203-942-2343",
"fax_number": "203-942-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGLIAFERRO",
"first_name": "SANDRA",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.