Active NPI
Ralchukwu Vivian Etolue, MSW, LMSW
- Social Worker
- New Britain, CT
National Provider Identifier
1790466449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 8029
- Practice address
- 40 Hart St
New Britain, CT 06052-1759 - Phone
- (860) 793-3500
- NPI assigned
- Jul 26, 2023
- Last updated
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 8029 | CT | Primary |
Addresses
Primary practice location
40 Hart St
New Britain, CT 06052-1759
Mailing address
148 Humphrey St Apt 1
New Haven, CT 06511-7303
Phone (203) 824-2902
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 |
|---|---|---|---|
| 8029 | CT | MD | Dentist |
Interoperability endpoints
- ralchukwu.etolue.p1@direct.wheelerclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1790466449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 HUMPHREY ST APT 1",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065117303",
"telephone_number": "203-824-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HART ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521759",
"telephone_number": "860-793-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETOLUE",
"first_name": "RALCHUKWU",
"middle_name": "VIVIAN",
"name_prefix": "Ms.",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "8029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.