CONNECTIC UT MENTAL HEALTH SERVICES
NPI 1073565198
Social Worker - Clinical in Farmington, CT
NPI Status: Active since May 17, 2006
Contact Information
270 FARMINGTON AVE
BUILDING ONE
FARMINGTON, CT
ZIP 06032
Phone: (860) 677-5570
- Organization
- Social Worker
- Clinical
- CLIA Number: 07D1096118
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-24-2027
About CONNECTIC UT MENTAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Connectic Ut Mental Health Services, a provider established in Farmington, Connecticut operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1073565198 assigned on May 2006. The practitioner's primary taxonomy code is 1041C0700X with license number 002211 (CT). The provider is registered as an organization and their NPI record was last updated 17 years ago. Connectic Ut Mental Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's former legal business name is Geriatric Mental Health Services. The authorized official of this NPI record is Ms. Dana Kriscenski (Administrative Assistant)
- NPI
- 1073565198
- Provider Legal Name
- CONNECTIC UT MENTAL HEALTH SERVICES
- Other Organization Name
- GERIATRIC MENTAL HEALTH SERVICES
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 270 FARMINGTON AVE BUILDING ONE FARMINGTON, CT 06032
- Location Phone
- (860) 677-5570
- Mailing Address
- 25 MIDDLEFIELD DR WEST HARTFORD, CT 06107
- Mailing Phone
- (186) 023-6812
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 08-08-2008
- Code Navigator
A clinical social worker like Connectic Ut Mental Health Services is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 002211
- License State
- CT
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D1096118
- Facility Type
- Physician Office
- Certificate Effective Date
- February 25, 2025
- Certificate Expiration Date
- February 24, 2027
- Laboratory Director
- DR. MARTIN D. OLLENSCHLEGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Connectic Ut Mental Health Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 6 | 5 | 1 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 6 | 10 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 6 + 1 + 0 + 1 + 1 + 8 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1073565198 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013976703 | KELLY A MASSUCCI M.ED. OTR/L Individual | Specialist | 270 FARMINGTON AVE SUITE 126 FARMINGTON, CT 06032 (860) 674-1824 |
| 1124070362 | DR. CYNTHIA LYNN NYE PH.D. Individual | Psychologist (Clinical) | 270 FARMINGTON AVE STE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1598716128 | MRS. BETH L ZUKOWSKI LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1750333829 | MS. PENNY FERN YELLEN LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE FARMINGTON, CT 06032 (860) 677-5570 |
| 1770536484 | MERYL DANITZ LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1174576334 | MARTIN M COOPER MD Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1811942402 | DAVID SHACK Individual | Psychologist | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1326094285 | ANTHONY MARTINEZ M.D. Individual | Psychiatry & Neurology (Psychiatry) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1831145606 | CONNECTICUT MENTAL HEALTH SPECIALISTS Organization | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1235185786 | KATHERINE COLTY LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE FARMINGTON, CT 06032 (860) 677-5570 |
| 1215983689 | NAOMI GRINER LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1508805201 | LINDA GOODMAN LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1770523367 | NICOLAS OLSHANSKY LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1306880232 | MARYELLEN S GARVAL LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE BUILDING ONE,SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1457394843 | MOHINDER CHADHA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1124138441 | DR. ROBERT STEPHEN MUMFORD DDS Individual | Dentist | 270 FARMINGTON AVE STE 233 FARMINGTON, CO 06032 (860) 677-5655 |
| 1104927086 | GEMA GUANCO MD Individual | Psychiatry & Neurology (Psychiatry) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
| 1073680013 | DR. THOMAS G PETERS DR DMD Individual | Dentist | 270 FARMINGTON AVE SUITE 329 FARMINGTON, CT 06032 (860) 677-8500 |
| 1730240854 | PAIN MANAGEMENT CENTER OF FARMINGTON Organization | Clinic/Center (Pain) | 270 FARMINGTON AVE FARMINGTON, CT 06032 (860) 677-6671 |
| 1386793628 | SUZANNE BORES LCSW Individual | Social Worker (Clinical) | 270 FARMINGTON AVE SUITE 309 FARMINGTON, CT 06032 (860) 677-5570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073565198, enumerated in the NPI registry as an "organization" on May 17, 2006
The provider is located at 270 Farmington Ave Building One Farmington, Ct 06032 and the phone number is (860) 677-5570
This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider's CLIA number is 07D1096118 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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