Individual provider Active NPI

Danielle Vinci Trindade, LCSW

  • Community/Behavioral Health Agency
  • Bridgeport, CT
National Provider Identifier
1831360700
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
1635 Central Ave
Bridgeport, CT 06610-2717
Phone
(203) 551-7443
NPI assigned
Mar 18, 2008
Last updated
Dec 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CT Primary

Addresses

Primary practice location

1635 Central Ave
Bridgeport, CT 06610-2717

Mailing address

36 Boulevard
Newtown, CT 06470-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104001068 CT Practitioner - Clinical Social Worker 7517277577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

55 W Main St
Waterbury, CT 06702-5524
Phone (203) 805-6414

55 W Main St
Suite 410
Waterbury, CT 06702-5501

72 N St
Suite 303
Danbury, CT 06810-5653
Phone (203) 830-9414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8109CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle V. Trindade, LCSW, LLC CurrentSince Jan 11, 2018 Accepting new patients
State of Connecticut CurrentSince Dec 15, 2016 Accepting new patients

Locations

72 North St
Ste 303
Danbury, CT 06810
Phone (203) 491-8657

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1831360700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BOULEVARD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102717",
            "telephone_number": "203-551-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINDADE",
        "first_name": "DANIELLE",
        "middle_name": "VINCI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.