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ADOLESCENT & FAMILY COUNSELING CENTER LLC NPI 1811906241


NPI Information

NPI: 1811906241
Provider Name: ADOLESCENT & FAMILY COUNSELING CENTER, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
350 S MAIN ST
THE REPUBLIC BUILDING / SUITE 23
CHESHIRE, CT
ZIP 06410
Phone: (203) 271-1234
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ADOLESCENT & FAMILY COUNSELING CENTER, LLC is a clinical social worker in Cheshire, CT. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. ADOLESCENT & FAMILY COUNSELING CENTER, LLC NPI is 1811906241. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 S MAIN ST
THE REPUBLIC BUILDING / SUITE 23
CHESHIRE, CT
ZIP 06410-160
Phone: (203) 271-1234
Fax: (203) 272-9094

The provider's authorized official is Herbert Jay Rosenfield .
The authorized official title is Director and has the following contact phone number (203) 271-1234.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 7/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalCONNECTICUTNo
2103TS0200XPsychologistSchoolCONNECTICUTNo
3106H00000XMarriage & Family TherapistCONNECTICUTNo
41041C0700XSocial WorkerClinicalCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A391854OTHERCONNECTICUTOXFORD HEALTH PLAN
2004257194MEDICAIDCONNECTICUT
3004257201MEDICAIDCONNECTICUT
4004257160MEDICAIDCONNECTICUT
57348011OTHERCONNECTICUTAETNA HEALTH MANAGEMENT
6248108OTHERCONNECTICUTMANAGED HEALTH NETWORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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