Specialty Social Services at Home, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006253 Issued in CT

Legal business name

SPECIALTY SOCIAL SERVICES AT HOME, LLC

Practice address

145 Adelaide St
Fairfield, CT 06825-7402

Phone

(203) 380-0320

Fax

(203) 380-0320

NPI assigned

Mar 20, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Yoberki Reyes, LCSWNPI 1629454780

Title

Member

Phone

(203) 338-0320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yoberki Reyes, L.C.S.W

  • Social Worker
  • Fairfield, CT
  • NPI 1629454780
  Medicare reassignment NPD Authorized official
• Alison Foito, LPC

  • Professional Counselor
  • Fairfield, CT
  • NPI 1457022816
  NPD (past)

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1760843692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ADELAIDE ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068257402",
            "telephone_number": "203-380-0320",
            "fax_number": "203-380-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ADELAIDE ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068257402",
            "telephone_number": "203-380-0320",
            "fax_number": "203-380-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SOCIAL SERVICES AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-20",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "YOBERKI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-338-0320",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Connecticut Christian Counseling Center (Renew Counseling Associates)
• Southport Chiropractic Office, P.C.
• Fiore F Soviero, PA
• Sparkle Wellness, LLC (Marsha Polanco, LCSW)
• Amy M Sparks, OT
• Jessica Speed, PT, DPT
• Jonathan Alan Speicher
• Evelyn Spencer, DMD
• Spine & Sport Fairfield LLC (Source of Strength Chiropractic)
• Sam A. Spinowitz, M.D.

• Clinical Social Worker in Fairfield, CT
• Providers in Fairfield, 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 Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.