Active NPI
The Children's Community Programs of Connecticut, Inc.
- Clinical Social Worker
- East Haven, CT
National Provider Identifier
1831343854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THE CHILDREN'S COMMUNITY PROGRAMS OF CONNECTICUT, INC.
- Practice address
- 290 Dodge Ave
East Haven, CT 06512-3359 - Phone
- (203) 468-5316
- NPI assigned
- Nov 5, 2008
- 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
- Andrew Sylvester
- Title
- Chief Financial Officer
- Phone
- (203) 786-6403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
290 Dodge Ave
East Haven, CT 06512-3359
Mailing address
446 Blake St
New Haven, CT 06515-1286
Phone (203) 786-6403
National Provider Directory
National Provider DirectoryLocations
290 Dodge Ave
East Haven, CT 06512
Phone (203) 468-5316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225843200000",
"number": "1831343854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 BLAKE ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065151286",
"telephone_number": "203-786-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 DODGE AVE",
"city": "EAST HAVEN",
"state": "CT",
"postal_code": "065123359",
"telephone_number": "203-468-5316"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CHILDREN'S COMMUNITY PROGRAMS OF CONNECTICUT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A",
"authorized_official_last_name": "SYLVESTER",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "203-786-6403"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Haven, CT
- Nina Ann Sutton, MA, LPCA
- Maria Sweeney, LPC
- Amanda Szeligowski, PHARM.D
- Taylor Pelsis, Bcba LLC
- Temple P. T. & Life Sciences
- The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #692)
- The Village at Mariners Point (Benchmark Senior Living)
- Therapy Works
- Kathleen Blake Thompson, LCSW
- Deanna Lynn Thornton, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.