Organization Active NPI

Halcyon Clinical Services, LLC

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1821495391
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HALCYON CLINICAL SERVICES, LLC
Practice address
75 Charter Oak Ave
Hartford, CT 06106-1903
Phone
(860) 768-2769
NPI assigned
Nov 29, 2014
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Orlando Wright, LCSW
Title
Ceo
Phone
(860) 768-2769

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

75 Charter Oak Ave
Hartford, CT 06106-1903

Mailing address

PO Box 280671
East Hartford, CT 06128-0671
Phone (860) 768-2769

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1821495391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280671",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061280671",
            "telephone_number": "860-768-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061903",
            "telephone_number": "860-768-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-29",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-768-2769",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.