Niantic Counseling Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NIANTIC COUNSELING CENTER LLC

Practice address

8 W Main St Ste 3-11
Niantic, CT 06357-2332

Phone

(860) 345-6985

NPI assigned

Jun 6, 2022

Last updated

Jun 6, 2022By 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

Philip Lafemina, LCSWNPI 1760532626

Title

Sole Member

Phone

(860) 345-6985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Philip Scott Lafemina, L.C.S.W.

  • Social Worker
  • Plainfield, CT
  • NPI 1760532626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1922737121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063570437",
            "telephone_number": "860-345-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W MAIN ST STE 3-11",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572332",
            "telephone_number": "860-345-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIANTIC COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "LAFEMINA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-345-6985",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Niantic, CT
• Providers in Niantic, 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 Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.