Collaborative Counseling Center, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COLLABORATIVE COUNSELING CENTER, LLC

Practice address

175 Main St FL 2
Hartford, CT 06106-1818

Phone

(860) 965-9757

Fax

(860) 246-0495

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alicia Thompkins, LCSW

Title

LCSW

Phone

(860) 965-9757

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1841761087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061818",
            "telephone_number": "860-965-9757",
            "fax_number": "860-246-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061818",
            "telephone_number": "860-965-9757",
            "fax_number": "860-246-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "THOMPKINS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "860-965-9757",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Ian Coleman, PHARMD
• Sheila Coleman, MSW
• Nickesha Yanique Coley, MFT
• Jaclyn Colfer, APRN
• Lauren Beth Colite, O.D.
• Collaborative Laboratory Services LLC
• Collaborative Laboratory Services-Mount Sinai Campus
• Gisel Collazo
• Ileana Collazo
• Eric James Collentro, PA-C

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, 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 Dec 16, 2018; 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.