Active NPI
Journey to Healing Clinical Services
- Clinical Social Worker
- Hartford, CT
National Provider Identifier
1760827422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 008259
- Legal business name
- JOURNEY TO HEALING CLINICAL SERVICES
- Practice address
- 3580 Main St
Lower Level
Hartford, CT 06120-1121 - Phone
- (860) 794-8260
- NPI assigned
- May 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Colinda Kizuri Hunter, LCSW
- Title
- Director
- Phone
- (860) 794-8260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008259 | CT | Primary |
Addresses
Primary practice location
3580 Main St
Lower Level
Hartford, CT 06120-1121
Mailing address
PO Box 46
Poquonock, CT 06064-0046
Phone (860) 794-8260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008044968 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
3580 Main St
Lowr
Hartford, CT 06120
Phone (860) 794-8260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431561600000",
"number": "1760827422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 46",
"city": "POQUONOCK",
"state": "CT",
"postal_code": "060640046",
"telephone_number": "860-794-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 MAIN ST",
"address_2": "LOWER LEVEL",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061201121",
"telephone_number": "860-794-8260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOURNEY TO HEALING CLINICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-07",
"last_updated": "2015-05-14",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "COLINDA",
"authorized_official_middle_name": "KIZURI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "860-794-8260",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008044968",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.