Christopher Gackenheimer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

009232 Issued in CT

Practice address

545 Highland Ave
Cheshire, CT 06410-2205

Phone

(203) 250-0305

NPI assigned

Oct 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SLC Counseling Associates, LLC

  • Mental Health Counselor
  • Cheshire, CT
  • NPI 1427571587
  NPD (past)
• The Social Learning Center. LLC

  • Professional Counselor
  • Cheshire, CT
  • NPI 1922533363

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1760958425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 AUTUMN ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112220",
            "telephone_number": "312-802-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102205",
            "telephone_number": "203-250-0305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Marsh Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773613",
            "country_code": "US",
            "telephone_number": "203-799-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GACKENHEIMER",
        "first_name": "CHRISTOPHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "009232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana G Fox, PSY.D
• Vincent John Franco
• Amanda Freeman, LCSW
• Fun 2B Free LLC
• Madeleine Fusco
• Brianna Marie Gaetano
• Kimberly Ann Gagliano, RPH
• Jeffrey Gagliardi, LCSW
• Julia Michelle Gaiser, RDN
• Tanya Gajdosik, SPEECH THERAPIST

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, 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 Oct 22, 2018; 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.