MR. CHARLES F. KIRBY III


Address: 30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240
Phone: 2038197650

MR. CHARLES F. KIRBY III (NPI# 1306094297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306094297
Entity Type Individual
Full Name MR. CHARLES F. KIRBY III
Credential LMSW-CC
Practice Address 30 Hazel Ter Ste 11
Woodbridge
CT 06525-2240
Practice Telephone 2038197650
Practice Fax Number 2032989487
Mailing Telephone 2038197650
Mailing Fax Number 2035978860
Enumeration Date 2008-09-04
Last Update Date 2018-11-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
MC11253 ME Behavioral Health & Social Service Providers

Other Providers CHARLES KIRBY

NPI Name Taxonomy Address Enumeration
1316201825 Charles Edward Kirby Dentist 1875 Old Alabama Rd Ste 130, Roswell, GA 30076-2262 2012-06-28
1053308783 Charles Gentry Kirby Ophthalmology 70 Westcare Dr, Ste 403, Sylva, NC 28779-5292 2005-09-27
1740282755 Charles A Kirby Specialist 5715 Cornelison Rd, 6600 Bldg, Chattanooga, TN 37411-5661 2005-08-10

Office Location

Street Address 30 HAZEL TER STE 11
City WOODBRIDGE
State CT
Zip Code 06525-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639454762 Naudeya T Richards Social Worker 30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240 2011-10-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649838822 Arcadian Counseling, LLC Counselor 176 Amity Rd # 283, Woodbridge, CT 06525 2019-06-03
1538604566 Susan G Israel Psychiatry & Neurology 18 Carriage Hill Road, Woodbridge, CT 06525 2016-12-29
1417409947 Personal Care Training LLC Home Health 30 Hazel Terace #7, Woodbridge, CT 06525 2016-11-01
1538506324 James A Killian Counselor 1 Bradley Rd Ste 106, Woodbridge, CT 06525 2013-06-03
1154666063 Julie M Charron Physical Therapy Assistant 5 Spring Valley Rd, Woodbridge, CT 06525 2012-12-04
1780931022 Edward David Martino Dentist 1674 Litchfield Turnpike, Woodbridge, CT 06525 2012-08-06
1972864627 Sandra Boltax-stern, Md, PC Psychiatry & Neurology 78 Ansonia Road, Woodbridge, CT 06525 2012-05-30
1629383906 Innovative Healthcare Exclusive Provider Organization 555 Amity Rd., Woodbridge, CT 06525 2010-08-11
1437300225 Carl B. Lundborg Orthopaedic Surgery 4 Fox Hill Rd, Woodbridge, CT 06525 2008-10-10
1033366067 Richard Eubanks Fearon Internal Medicine 20 Brook Rd, Woodbridge, CT 06525 2008-08-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518568518 Ruth Ilboudo Social Worker 15732 John Diskin Cir, Woodbridge, VA 22191-6550 2020-11-05
1801409123 Angel Bartlett Social Worker 2357 Brookmoor Ln, Woodbridge, VA 22191-4083 2020-08-26
1306308234 Emily Manza Social Worker 16012 Indus Dr, Woodbridge, VA 22191-4336 2019-04-01
1053885707 Shatiera Monique Amankrah Social Worker 3733 Hetten Ln, Woodbridge, VA 22193-1048 2019-01-16
1922576099 Paula Dorman Social Worker 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 2018-11-07
1417444910 Mallory Grimste LLC Social Worker 30 Hazel Ter Ste 12, Woodbridge, CT 06525-2240 2018-04-19
1003315391 Sage Community Counseling LLC Social Worker 2239b Tacketts Mill Dr, Woodbridge, VA 22192-3026 2018-02-02
1568902765 Tabitha Mann Social Worker 12191 Cardamom Dr, Woodbridge, VA 22192-1448 2017-03-07
1184169765 Mahogany Lacour Social Worker 4197 Windflower Ct, Woodbridge, VA 22193-5100 2017-01-05
1932655354 Kayla Marie Lucas Social Worker 1 Bradley Rd Ste 404405, Woodbridge, CT 06525-2285 2016-08-26
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Competitor

Search similar providers

City WOODBRIDGE
Zip Code 06525

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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