FAIRFIELD COUNSELING GROUP LLC (NPI# 1750633285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750633285 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD COUNSELING GROUP LLC |
| Practice Address |
60 Katona Dr Suite 25 Fairfield CT 06824-3544 |
| Practice Telephone | 2032758555 |
| Practice Fax Number | 2036129830 |
| Mailing Telephone | 2032758555 |
| Mailing Fax Number | 2036129830 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | ANGELICA FONTANEZ (LCSW) |
| Authorized Official Telephone | 9175432209 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
60 KATONA DR SUITE 25 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871569707 | Shamrock Visiting Nurse & Home Health Aide Agency, Inc. | Home Health | 60 Katona Dr, Suite 18, Fairfield, CT 06824-3544 | 2006-02-28 |
| 1528683109 | Rachel Black | Counselor | 60 Katona Dr, Fairfield, CT 06824-3544 | 2020-06-10 |
| 1598133944 | Counseling & Family Therapy Center | Marriage & Family Therapist | 60 Katona Dr, Suite 22, Fairfield, CT 06824-3544 | 2015-09-02 |
| 1588955538 | Perfect Smiles of Fairfield | Dentist | 60 Katona Dr, Suite 20, Fairfield, CT 06824-3544 | 2011-04-26 |
| 1396979365 | Randi Marie Jimenez | Chiropractor | 60 Katona Dr, Suite #19, Fairfield, CT 06824-3544 | 2009-05-06 |
| 1053466979 | Jill Arronson Bachman | Social Worker | 60 Katona Dr, Ste 19, Fairfield, CT 06824-3544 | 2007-01-23 |
| 1841387842 | Michael Quinlivan | Dentist | 60 Katona Dr, Fairfield, CT 06824-3544 | 2006-10-10 |
| 1518068196 | Peter Frank Browning | Marriage & Family Therapist | 60 Katona Dr, Fairfield, CT 06824 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482223 | Kelly Kurtz | Social Worker | 111 Janet Trl, Fairfield, PA 17320-8174 | 2020-09-18 |
| 1962950147 | Christina Merlonghi | Social Worker | 2068 Alford Dr, Fairfield, CA 94534-1861 | 2016-09-15 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1629454780 | Yoberki Reyes | Social Worker | 145 Adelaide St, Fairfield, CT 06825-7402 | 2015-07-30 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| 1780067967 | Dawn Bright | Social Worker | 519 Iowa St, Fairfield, CA 94533-5227 | 2015-07-07 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1730508284 | Rene' Visser | Social Worker | 34 Sherman Ct, 2nd Floor, Fairfield, CT 06824 | 2014-04-14 |
| 1821417445 | Adam Sump | Social Worker | 6975 Dixie Highway, Suite A, Fairfield, OH 45014 | 2014-04-10 |
| 1073779278 | Geraldine Rembert Curry | Social Worker | 812 Griswold Rd, Post Office Box 15, Fairfield, AL 35064-2812 | 2008-08-06 |
| Find all providers in FAIRFIELD | ||||
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| 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.