Individual provider Active NPI

Sandra L. Tagliaferro, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1730285313
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005230 Issued in CT
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

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
5230CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.