Active NPI
Relational Abuse Resource Center LLC
- Adult Mental Health Clinic/Center
- Westport, CT
National Provider Identifier
1821779299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- RELATIONAL ABUSE RESOURCE CENTER LLC
- Practice address
- 180 Post Rd E Ste 208
Westport, CT 06880-3414 - Phone
- (203) 306-5855
- Fax
- (203) 308-5585
- NPI assigned
- Jul 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elisa Lederer, LCSW
- Title
- Owner
- Phone
- (561) 335-7671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
180 Post Rd E Ste 208
Westport, CT 06880-3414
Mailing address
4 Jarvis St
Norwalk, CT 06851-2824
Phone (203) 306-5855
Other names 1
- Relational Abuse Resource Center LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Westport, CT
- NPI 1912278094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691712000000",
"number": "1821779299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 JARVIS ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512824",
"telephone_number": "203-306-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 POST RD E STE 208",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803414",
"telephone_number": "203-306-5855",
"fax_number": "203-308-5585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELATIONAL ABUSE RESOURCE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-28",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A",
"authorized_official_last_name": "LEDERER",
"authorized_official_first_name": "ELISA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-335-7671",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Relational Abuse Resource Center LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.