Active NPI
Gildo Consolini, LCSW
- Clinical Social Worker
- Stamford, CT
National Provider Identifier
1760680359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005923
- Practice address
- 60 Palmers Hill Rd
Stamford, CT 06902-2113 - Phone
- (203) 324-3167
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 005923 | CT | Primary |
Addresses
Primary practice location
60 Palmers Hill Rd
Stamford, CT 06902-2113
Mailing address
20 Bridge St
Greenwich, CT 06830-5238
Phone (203) 629-2940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 15, 2022 through Mar 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005923 | CT | MD | Clinical Social Worker |
| 5923 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760680359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BRIDGE ST",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068305238",
"telephone_number": "203-629-2940",
"fax_number": "203-629-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PALMERS HILL RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069022113",
"telephone_number": "203-324-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSOLINI",
"first_name": "GILDO",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "005923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.