Active NPI
Timothy Sacerdote, LCSW
- Clinical Social Worker
- New Britain, CT
National Provider Identifier
1932504560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9178
- Practice address
- 270 John Downey Dr
New Britain, CT 06051-2906 - Phone
- (860) 229-4830
- NPI assigned
- Oct 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9178 | CT | Primary |
Addresses
Primary practice location
270 John Downey Dr
New Britain, CT 06051-2906
Mailing address
270 John Downey Dr
New Britain, CT 06051-2906
Phone (860) 229-4830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1932504560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 JOHN DOWNEY DR",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060512906",
"telephone_number": "860-229-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 JOHN DOWNEY DR",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060512906",
"telephone_number": "860-229-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACERDOTE",
"first_name": "TIMOTHY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "9178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.