MICHAEL SURACI


Address: 34 Park St, New Haven, CT 06519-1109
Phone: 2039747300

MICHAEL SURACI (NPI# 1629436258) 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) 1629436258
Entity Type Individual
Full Name MICHAEL SURACI
Credential LCSW, LADC
Practice Address 34 Park St
New Haven
CT 06519-1109
Practice Telephone 2039747300
Mailing Telephone 2039747300
Enumeration Date 2016-02-10
Last Update Date 2016-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
001005 CT Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
008720 CT Behavioral Health & Social Service Providers

Office Location

Street Address 34 PARK ST
City NEW HAVEN
State CT
Zip Code 06519-1109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972162170 Laura Yoviene Sykes Psychologist 34 Park St, New Haven, CT 06519-1109 2019-06-11
1487218228 Josina Aileen James Social Worker 34 Park St, New Haven, CT 06519-1109 2019-04-26
1699245845 Brittany Quagan Counselor 34 Park St, New Haven, CT 06519-1109 2018-11-30
1750874392 Vikiana Gray Counselor 34 Park St, New Haven, CT 06519-1109 2018-06-08
1962931030 Guinell L Stanley Social Worker 34 Park St, New Haven, CT 06519-1109 2017-06-12
1093170524 Jeanne Leblanc Social Worker 34 Park St, New Haven, CT 06519-1109 2015-12-29
1326424938 Mayra A Aguirre Social Worker 34 Park St, New Haven, CT 06519-1109 2015-08-05
1346637360 Emma Ava Lo Psychiatry & Neurology 34 Park St, Acute Services, New Haven, CT 06519 2015-04-16
1811382872 Carmen Gabrielle Parker Psychiatry & Neurology 34 Park St, New Haven, CT 06519-1109 2015-04-06
1588057046 Marla Ackerley Social Worker 34 Park St, New Haven, CT 06519-1109 2015-03-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

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
1487252995 Peter James Butler Social Worker 580 Dixwell Ave, New Haven, CT 06511-1744 2020-10-16
1639785363 Rita J Wagner Social Worker 81 Lenox St, New Haven, CT 06513-4420 2020-09-18
1659983740 Neta Korem Social Worker 135 Canner St, New Haven, CT 06511-2201 2020-08-19
1568074136 Jalena Louise Robertson Adams Social Worker 2218 Lyons Station Rd, New Haven, KY 40051-8723 2020-08-17
1588272744 Angela Monique Avery Social Worker 1423 Chapel St Ste 2r, New Haven, CT 06511-4411 2020-07-14
1427675255 Tatiana Martinez Social Worker 350 George St Fl 2, New Haven, CT 06511-6617 2020-06-27
1275167959 Cheyenne Taylor Social Worker 911-913 State St, Sscs, New Haven, CT 06511-3926 2020-03-03
1093349862 Becoming You Therapy Social Worker 14 Trumbull St Ste 103, New Haven, CT 06511-6312 2020-03-02
1245880418 Estela Lopez-de Lara Social Worker 455 Orange St Ofc 1, New Haven, CT 06511-6202 2019-09-18
1710549753 Adna Linden Social Worker 35 Elm St Ste 1c, New Haven, CT 06510-2023 2019-06-30
Find all providers in NEW HAVEN

Competitor

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City NEW HAVEN
Zip Code 06519

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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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