Active NPI
John Remmele, LCSW
- Clinical Social Worker
- West Haven, CT
National Provider Identifier
1780775924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 003401
- Practice address
- 114 Boston Post Rd
Errera Community Care Center
West Haven, CT 06516-2043 - Phone
- (203) 479-8031
- Fax
- (203) 479-8001
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 003401 | CT | Primary |
Addresses
Primary practice location
114 Boston Post Rd
Errera Community Care Center
West Haven, CT 06516-2043
Mailing address
114 Boston Post Rd
Errera Community Care Center
West Haven, CT 06516-2043
Phone (203) 479-8031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003401 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1780775924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 BOSTON POST RD",
"address_2": "ERRERA COMMUNITY CARE CENTER",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162043",
"telephone_number": "203-479-8031",
"fax_number": "203-479-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 BOSTON POST RD",
"address_2": "ERRERA COMMUNITY CARE CENTER",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162043",
"telephone_number": "203-479-8031",
"fax_number": "203-479-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMMELE",
"first_name": "JOHN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "003401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.