Individual provider Active NPI

Sybil Houlding, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1730534082
Registry record updated Apr 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000215 Issued in CT
Practice address
129 Church St
Suite 308
New Haven, CT 06510-2026
Phone
(203) 495-9378
NPI assigned
Apr 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2016

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 000215 CT Primary

Addresses

Primary practice location

129 Church St
Suite 308
New Haven, CT 06510-2026

Mailing address

129 Church St
Suite 308
New Haven, CT 06510-2026
Phone (203) 495-9378

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000215CTMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461456000000",
    "number": "1730534082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CHURCH ST",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102026",
            "telephone_number": "203-495-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CHURCH ST",
            "address_2": "SUITE 308",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102026",
            "telephone_number": "203-495-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULDING",
        "first_name": "SYBIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-24",
        "last_updated": "2016-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2016; 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.