Scott J Migdole, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

004086 Issued in CT

Practice address

55 Church St
Yale Behavioral Health - Suite 404
New Haven, CT 06510-3014

Phone

(203) 288-6253

Fax

(203) 288-0948

NPI assigned

Nov 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1962484964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CHURCH ST",
            "address_2": "YALE BEHAVIORAL HEALTH - SUITE 404",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103014",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHURCH ST",
            "address_2": "YALE BEHAVIORAL HEALTH - SUITE 404",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103014",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGDOLE",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "004086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004167715",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Micheal, MD
• Shannon Scully Michel, D.O.
• Kathryn Ann Midgley, PAC
• Jennie Antoinette Miele-Hall, LADC, LCAS
• Frank Miele, DO
• Aleksandros Mihilli, MD
• Lahaysha Mike, LPC
• John Paul Mikhaiel, MD
• Emily Miko, LPC
• Hannah Miksenas, MD

• Social Worker in New Haven, CT
• Providers in New Haven, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.