TD Forensics LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TD FORENSICS LLC

Practice address

83 Halls Rd
Suite 203
Old Lyme, CT 06371-4409

Phone

(860) 499-0663

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tabatha Ann Maiorano, LCSW

Title

Owner

Phone

(860) 499-0663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1902293780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064150471",
            "telephone_number": "860-499-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HALLS RD",
            "address_2": "SUITE 203",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063714409",
            "telephone_number": "860-499-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD FORENSICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "MAIORANO",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-499-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn E Stack, MD
• Linda K Stanley, APRN
• Jonas Robert Steiner, LCSW
• Sweet Homemaker and Companion Agency LLC
• Rebecca Taylor, MA CCC-SLP
• The Finch Corp (Old Lyme Pharmacy)
• The Hope Connection LLC
• Therapy Works Pediatrics
• Habib Thiam
• Joyce A Tinsley, MD

• Clinical Social Worker in Old Lyme, CT
• Providers in Old Lyme, 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 Apr 20, 2015; 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.