Thomas M Foster Psychotherapist

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

002669 Issued in CT

Legal business name

THOMAS M FOSTER PSYCHOTHERAPIST

Practice address

15 Canterbury CT
Brookfield, CT 06804-2726

Phone

(203) 241-8089

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Thomas M Foster, LCSW

Title

Owner

Phone

(203) 241-8089

Specialties & licenses 1

Addresses

Other names 1

• Foster Psychotherapy Doing business as

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1750760138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CANTERBURY CT",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042726",
            "telephone_number": "203-241-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CANTERBURY CT",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042726",
            "telephone_number": "203-241-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M FOSTER PSYCHOTHERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-241-8089",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foster Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Brookfield, CT
• Providers in Brookfield, 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 May 19, 2015; 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.