Clearsource Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLEARSOURCE COUNSELING, PLLC

Practice address

2900 Main St Ste 3DF
Stratford, CT 06614-4946

Phone

(203) 457-3963

NPI assigned

Feb 25, 2022

Last updated

Mar 28, 2024By 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

Phoebe Musico, LCSWNPI 1386260040

Title

Manager

Phone

(203) 984-9352

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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.

• Phoebe Ward Gould Musico, LCSW

  • Clinical Social Worker
  • Fairfield, CT
  • NPI 1386260040
  Medicare reassignment NPD Authorized official
• Linda Papp, LPC

  • Professional Counselor
  • Stratford, CT
  • NPI 1487338976
  NPD
• Brooke Corinne Vargas, LCSW

  • Clinical Social Worker
  • Stratford, CT
  • NPI 1851626584
  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1770239055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1020, 1201 KINGS HIGHWAY",
            "address_2": "SUITE 2",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MAIN ST STE 3DF",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144946",
            "telephone_number": "203-457-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Pope St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068254328",
            "country_code": "US",
            "telephone_number": "203-984-9352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEARSOURCE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "MUSICO",
        "authorized_official_first_name": "PHOEBE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-984-9352",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Smillie, MD (Breastfeeding Resources)
• Deborah E Christy, LCSW
• Melissa Cicerchia
• Julie Clark, PHYSICAL THERAPIST
• Novlette G Clarke, RN
• Clinicians Cove
• Coastal Connecticut Medical Group PLLC (Coastal Connecticut Medical Group)
• Coastal Natural Medicine, LLC
• Donna Codeghini X, SLP
• Kacie Samantha Coleman, PHARM-D

• Clinical Social Worker in Stratford, CT
• Providers in Stratford, 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 Mar 28, 2024; 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.