KMG THERAPY AND CONSULTING LLC
NPI 1760856181
Social Worker - Clinical in Groton, CT
NPI Status: Active since November 23, 2015
Contact Information
481 GOLD STAR HWY
SUITE 301
GROTON, CT
ZIP 06340
Phone: (860) 917-1779
Fax: (860) 447-8122
- Organization
- Social Worker
- Clinical
About KMG THERAPY AND CONSULTING LLC
This page provides the complete NPI Profile along with additional information for Kmg Therapy And Consulting Llc, a provider established in Groton, Connecticut operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1760856181 assigned on November 2015. The practitioner's primary taxonomy code is 1041C0700X with license number 8823 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Maria M Gallagher Lcsw (Member)
- NPI
- 1760856181
- Provider Name
- KMG THERAPY AND CONSULTING LLC
- Entity Type
- Organization
- Location Address
- 481 GOLD STAR HWY SUITE 301 GROTON, CT 06340
- Location Phone
- (860) 917-1779
- Location Fax
- (860) 447-8122
- Mailing Address
- 1075 E LAKE RD OAKDALE, CT 06370
- Mailing Phone
- (860) 917-1779
- Mailing Fax
- (860) 447-8122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-23-2015
- Last Update Date
- 11-23-2015
- Code Navigator
A clinical social worker like Kmg Therapy And Consulting Llc 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.
- 8823
- 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 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13515495 | OTHER (01) | CT | COUNCIL FOR AFFORDABLE QUALITY HEALTH (CAQH) |
| 544181 | OTHER (01) | CT | MANAGED HEALTH NETWORK (MHN) |
| 0006568 | OTHER (01) | CT | VALUEOPTIONS CT BHP |
| 008056500 | MEDICAID (05) | CT | |
| D300184136 | OTHER (01) | CT | MEDICARE PTAN |
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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 | 7 | 6 | 0 | 8 | 5 | 6 | 1 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 16 | 5 | 12 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 6 + 5 + 1 + 2 + 1 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1760856181 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326055062 | MARITZA BOURASSA LCSW Individual | Social Worker (Clinical) | 481 GOLD STAR HWY SUITE 301 GROTON, CT 06340 (860) 448-9755 |
| 1376631382 | MRS. LAUREL ANNE WIERS LMFT Individual | Marriage & Family Therapist | 481 GOLD STAR HWY SUITE 301 GROTON, CT 06340 (860) 448-9755 |
| 1952596173 | RON A. AGOSTINI P.T. Individual | Physical Therapist | 481 GOLD STAR HWY SUITE 201 GROTON, CT 06340 (860) 445-9433 |
| 1730400318 | MICHELLE BUSSOLOTTI, LMFT Organization | Marriage & Family Therapist | 481 GOLD STAR HWY GROTON, CT 06340 (860) 961-4951 |
| 1245592617 | PHYSICAL THERAPY OF MYSTIC, LLC Organization | Physical Therapist | 481 GOLD STAR HWY SUITE 201 GROTON, CT 06340 (860) 445-9433 |
| 1437334851 | COMMUNITY HEALTH CENTER INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 481 GOLD STAR HWY SUITE 100 GROTON, CT 06340 (860) 446-8858 |
| 1699799932 | DR. WILLIE J. COLEMAN JR. PH.D. Individual | Psychologist | 481 GOLD STAR HWY SUITE 301 GROTON, CT 06340 (860) 405-0490 |
| 1659713428 | KLA KEMP, LLC Organization | Social Worker (Clinical) | 481 GOLD STAR HWY GROTON, CT 06340 (860) 857-6429 |
| 1558473769 | MR. THOMAS KUCHARCHIK MD Individual | Family Medicine | 481 GOLD STAR HWY SUITE 100 GROTON, CT 06340 (860) 446-8858 |
| 1346246444 | ANANDHI BALESWAREN MD Individual | Internal Medicine | 481 GOLD STAR HWY SUITE 100 GROTON, CT 06340 (860) 446-8858 |
| 1932518008 | SARAH M RICCITELLI DPT Individual | Physical Therapist | 481 GOLD STAR HWY SUITE 302 GROTON, CT 06340 (860) 446-8254 |
| 1437284395 | SUSAN B KOHN F.N.P. Individual | Nurse Practitioner (Family) | 481 GOLD STAR HWY SUITE 100 GROTON, CT 06340 (860) 446-8858 |
| 1972849289 | KAILEAH CHRISTIE-FOGG LCSW Individual | Social Worker | 481 GOLD STAR HWY 301 GROTON, CT 06340 (860) 287-6393 |
| 1780057653 | KAILEAH CHRISTIE-FOGG, LLC Organization | Social Worker (Clinical) | 481 GOLD STAR HWY SUITE 301 GROTON, CT 06340 (860) 287-6393 |
| 1568522514 | DR S D GOLDBERG LLC Organization | Marriage & Family Therapist | 481 GOLD STAR HWY SUITE 301 GROTON, CT 06340 (860) 446-7573 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760856181, enumerated in the NPI registry as an "organization" on November 23, 2015
The provider is located at 481 Gold Star Hwy Suite 301 Groton, Ct 06340 and the phone number is (860) 917-1779
This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 23, 2015. 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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