Clinical Consultation & Mediation LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CLINICAL CONSULTATION & MEDIATION LLC

Practice address

2558 Whitney Ave
Hamden, CT 06518-3046

Phone

(203) 675-9823

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Stacey Cartier, LCSWNPI 1386789675

Title

Sole Owner

Phone

(203) 675-9823

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.

• Stacey A Cartier, LCSW MPH CHES

  • Clinical Social Worker
  • New Haven, CT
  • NPI 1386789675
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1962964478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065250374",
            "telephone_number": "203-675-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2558 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183046",
            "telephone_number": "203-675-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTATION & MEDIATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "CARTIER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "203-675-9823",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlee Clarino
• Devyn S Clark, LMSW
• Paul Kevin Clarke, M.D.
• Brenda A Clay-Ozenne
• Clifford W. Beers Guidance Clinic Inc
• Shaqueala Cobbs
• Daniel Aaron Cohen, LCSW,MSW,MDIV,MSJ,BA
• Jillian Taylor Cohn
• Deirdra Colavolpe
• Collaborative Change Counseling and Wellness, LLC

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, 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 Apr 3, 2019; 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.