Shirley Mattfeld LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006228 Issued in CT

Legal business name

SHIRLEY MATTFELD LCSW LLC

Practice address

85 Broad St
Middletown, CT 06457-3236

Phone

(860) 852-3358

NPI assigned

Aug 18, 2014

Organization subpart

No

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

Authorized official

Name

Shirley MattfeldNPI 1750455606

Title

Manager

Phone

(860) 852-3358

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Mattfeld, LCSW

  • Clinical Social Worker
  • Middletown, CT
  • NPI 1750455606
  NPD (past) Authorized official

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1821497678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 E MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801505",
            "telephone_number": "860-852-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BROAD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573236",
            "telephone_number": "860-852-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY MATTFELD LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "MATTFELD",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-852-3358"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sherman, LMFT
• Sherri L. O'Shea LCSW LLC
• Gregory Shields, M.D.
• Ha Shin
• Jennifer Shin
• Daniel James Shoemaker, DDS
• Shoreline Surgical Assoc. P.C.
• Peter A Shriver, DO
• Megan Fritton Shue, MD
• Elizabeth Shulman, LMFT

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, 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 18, 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.