Michael Bruce Enson, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001682 Issued in CT

Practice address

9 Munson Road
2ND Floor
Bethany, CT 06524

Phone

(203) 393-2849

Fax

(203) 393-1735

NPI assigned

Dec 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881750131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MUNSON ROAD",
            "address_2": "2ND FLOOR",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "06524",
            "telephone_number": "203-393-2849",
            "fax_number": "203-393-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MUNSON ROAD",
            "address_2": "2ND FLOOR",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "06524",
            "telephone_number": "203-393-2849",
            "fax_number": "203-393-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSON",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauleen Reyes Consebido, CRNA
• Anastasia R Demaio, LMSW
• Nick Demaio III, MA; LCSW
• Richard Diotalevi, DMD
• Deborah Lynn Ellsworth, LCSW
• William Fischer, M.D.
• Ashlee Fuoco-Abate
• Tatiana A. Goclowski, MSN, FNP-BC
• Grassylane Therapies, LLC
• Michael Sean Harris, PH.D., M.DIV.

• Clinical Social Worker in Bethany, CT
• Providers in Bethany, 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 Jul 8, 2007; 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.