Sophia Alexis Denniston, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12377 Issued in CT

Practice address

300 State St Ste 413C
New London, CT 06320-6115

Phone

(860) 672-5038

NPI assigned

Aug 1, 2022

Sex

Female

Sole proprietor

No

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• True You LLC

  • Adult Mental Health Clinic/Center
  • New London, CT
  • NPI 1326769712
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1780311761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 413C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206115",
            "telephone_number": "860-672-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 413C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063206115",
            "telephone_number": "860-672-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISTON",
        "first_name": "SOPHIA",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo-Ann Deloge, APRN
• Juan C Delprado, PA-C
• Samuel L Dengler, M.D.
• Heather Denman
• Laura Denman
• Nicole Denny, LCSW
• Bethany Brooke Denolfo, BA
• Jennifer A Derico
• Lydia Derienzo, PHARMD
• Dermatology Associates of Southeastern Connecticut, P.C.

• Clinical Social Worker in New London, CT
• Providers in New London, 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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.