FSW (NPI# 1568679967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568679967 |
| Entity Type | Organization |
| Organization Name | FSW |
| Practice Address |
475 Clinton Ave Bridgeport CT 06605-1700 |
| Practice Telephone | 2033684291 |
| Practice Fax Number | 2033681239 |
| Mailing Telephone | 2033684291 |
| Mailing Fax Number | 2033681239 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN LANGDON (PRESIDENT AND CEO) |
| Authorized Official Telephone | 2033685653 |
| Authorized Official Credential | MSW,LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 000201 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | GRP# | C01300 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FSW | 475 Clinton Ave, Bridgeport, CT 06605-1700 |
| Iowa Business Entities | FSW CAR WASH LIMITED PARTNERSHIP | 707 W Lincolnway, Po Box 188, Morrison, IL 61270 |
| New York State Corporations | FSW CHEER, INC. | 808 Franklin Place, Franklin Square, Ny 11010 |
| Oregon Corporations, Companies and Business Names | FSW FABRIC RESTORATION | 6767 Sw Macadam Ave, Portland, OR 97219 |
| Washington State Corporations | FSW FAMILY, LLC | 1023 Nw 190th Street, Shoreline, WA 98177 |
| System for Award Management (SAM) Entities | FSW FUNDING | 4530 E Shea Blvd Ste 170, Phoenix, AZ 85028-6042 |
| Oregon Corporations, Companies and Business Names | FSW HOLDINGS LLC | 33309 Neacoxie Ln, Warrenton, OR 97146 |
| Washington State Corporations | FSW KONA KAI, INC. | 15511 Third Ave Sw, Seattle, WA 98166 |
| Colorado Business Entities | FSW LLC | 1420 Rocky Ridge Drive, Suite 140, Roseville, CA 95661 |
| New York State Corporations | FSW PARTNERS LLC | 480 Forest Ave, Locust Valley, Ny 11560 |
| Street Address |
475 CLINTON AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006923 | Lifebridge Community Services, Inc. | Clinic/Center | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2005-07-13 |
| 1538721311 | Tamara Corley | Social Worker | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2019-07-02 |
| 1265099253 | Marcos Rosa | Marriage & Family Therapist | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2019-05-24 |
| 1619432267 | Vanessa Jaunai | Counselor | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2019-02-07 |
| 1225508229 | Silvia Dicovich | Counselor | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2018-12-03 |
| 1316415557 | Elena Cela | Counselor | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2018-11-06 |
| 1497223887 | Kenyatta Tolbert | Social Worker | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2018-11-05 |
| 1710454509 | Emilia Hodel | Counselor | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2018-10-30 |
| 1861970949 | Marlene M Wolf | Marriage & Family Therapist | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2018-08-01 |
| 1982180899 | Jian Shen | Counselor | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038685 | Eprine Community Services Inc. | Community/Behavioral Health | 1450 Barnum Ave Ste 202, Bridgeport, CT 06610-3272 | 2020-06-19 |
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1437600491 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 1549 Fairfield Ave, Bridgeport, CT 06605-1935 | 2016-10-14 |
| 1164891271 | Resources for Human Development, Inc | Community/Behavioral Health | 18 E 4th St, Bridgeport, PA 19405-1460 | 2015-09-18 |
| 1811255805 | Lv Family Resources LLC | Community/Behavioral Health | 63 Beach St, Bridgeport, CT 06608-2201 | 2012-04-26 |
| 1770721011 | The Laam Inc | Community/Behavioral Health | 1115 Main St Ste 309, Bridgeport, CT 06604-4415 | 2009-01-23 |
| 1407033152 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 392 Prospect St, Bridgeport, CT 06604-4625 | 2008-01-24 |
| 1710108444 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 480 Bond St, Bridgeport, CT 06610-2205 | 2007-05-01 |
| 1497295208 | Boys and Girls Village | Community/Behavioral Health | 170 Bennett St, Bridgeport, CT 06605-2901 | 2017-02-27 |
| 1851843205 | Kristin Charney | Community/Behavioral Health | 170 Bennett St, Bridgeport, CT 06605-2901 | 2016-11-02 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
Please comment or provide details below to improve the information on FSW.
| 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.