NPIMap

Organization Active NPI

Paul J Mahler LCSW LLC

  • Clinical Social Worker
  • Avon, CT
National Provider Identifier
1962807461
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007718 Issued in CT
Legal business name
PAUL J MAHLER LCSW LLC
Practice address
19 E Main St
2ND Floor
Avon, CT 06001-3832
Phone
(860) 459-6942
Fax
(860) 909-0263
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mr. Paul Mahler, LCSWNPI 1255610556
Title
Director
Phone
(860) 459-6942

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007718 CT Primary

Addresses

Primary practice location

19 E Main St
2ND Floor
Avon, CT 06001-3832

Mailing address

29 Livery Pool Rd
New Hartford, CT 06057-2218
Phone (860) 459-6942

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.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1962807461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 LIVERY POOL RD",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "060572218",
            "telephone_number": "860-459-6942",
            "fax_number": "860-909-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013832",
            "telephone_number": "860-459-6942",
            "fax_number": "860-909-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J MAHLER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "MAHLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "860-459-6942",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.