NPI 1255601548 · live from the CMS NPI Registry
Affiliates For Consultation And Psychotherapy
Social Worker, Clinical in New Haven, CT. National Provider Identifier 1255601548, active.
NPI record
| NPI | 1255601548 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 389 Orange St., New Haven, CT 06511 |
| Practice phone | 203-562-4235 |
| Enumerated | January 4, 2012 |
| Last updated | January 4, 2012 |
| Authorized official | Thomas Campbell, General Partner And Practice Direct |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | — (CT) |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — (CT) |
| Counselor, Mental Health | 101YM0800X | — (CT) |
| Counselor, Pastoral | 101YP1600X | — (CT) |
| Counselor, Professional | 101YP2500X | — (CT) |
| Social Worker | 104100000X | — (CT) |
| Marriage & Family Therapist | 106H00000X | — (CT) |
| Social Worker, Clinical primary | 1041C0700X | — (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.