Organization Active NPI

East Coast Therapeutic Connections PLLC

  • Clinical Social Worker
  • Merritt, NC
National Provider Identifier
1912697418
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EAST COAST THERAPEUTIC CONNECTIONS PLLC
Practice address
175 Dogwood Landing Rd
Merritt, NC 28556-9592
Phone
(252) 670-2073
NPI assigned
May 9, 2023
Last updated
May 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Authorized official

Name
Caroline Connor, LCSW LCASNPI 1346734712
Title
Managing Member
Phone
(252) 229-1107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

175 Dogwood Landing Rd
Merritt, NC 28556-9592

Mailing address

175 Dogwood Landing Rd
Merritt, NC 28556-9592
Phone (252) 670-2073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1912697418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DOGWOOD LANDING RD",
            "city": "MERRITT",
            "state": "NC",
            "postal_code": "285569592",
            "telephone_number": "252-670-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DOGWOOD LANDING RD",
            "city": "MERRITT",
            "state": "NC",
            "postal_code": "285569592",
            "telephone_number": "252-670-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST THERAPEUTIC CONNECTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "252-229-1107",
        "authorized_official_credential": "LCSW LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.