MRS. MAXINE D GREENBERG


Address: 400 Stillson Rd, Fairfield, CT 06824-3103
Phone: 2033357000

MRS. MAXINE D GREENBERG (NPI# 1861463846) 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) 1861463846
Entity Type Individual
Full Name MRS. MAXINE D GREENBERG
Credential MSW
Practice Address 400 Stillson Rd
Fairfield
CT 06824-3103
Mailing Address 265 Balmforth St
Bridgeport
CT 06605-3508
Practice Telephone 2033357000
Mailing Telephone 2035761123
Enumeration Date 2006-01-30
Last Update Date 2010-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
001898 CT Behavioral Health & Social Service Providers

Office Location

Street Address 400 STILLSON RD
City FAIRFIELD
State CT
Zip Code 06824-3103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215914155 Joan S. Franklin Psychologist 400 Stillson Rd, Fairfield, CT 06824-3103 2005-12-30
1700235900 Koenig Family Therapy LLC Community/Behavioral Health 400 Stillson Rd, Fairfield, CT 06824-3103 2016-06-08
1912173246 Maryellen Walpole Social Worker 400 Stillson Rd, Fairfield, CT 06824-3103 2008-05-06
1295949576 Vicki Boudin Psychologist 400 Stillson Rd, Fairfield, CT 06824-3103 2007-05-09
1063552974 Kyeong-bin Im Dentist 400 Stillson Rd, Fairfield, CT 06824-3103 2007-02-08
1225183247 Rose Mary Chuley Psychologist 400 Stillson Rd, Fairfield, CT 06824 2007-01-23
1518040385 Andrea E Bachrach Psychologist 400 Stillson Rd, Fairfield, CT 06824-6533 2006-10-23
1417049115 Michael Tobet Chiropractor 400 Stillson Rd, Fairfield, CT 06824-3103 2006-09-29

Providers in the same zip code

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
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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
1437757838 Tree of Life Centers Social Worker 191 Catherine Ter, Fairfield, CT 06824-6463 2020-10-16
1386260040 Phoebe Ward Gould Musico Social Worker 45 Pope St, Fairfield, CT 06825-4328 2020-06-18
1003445008 Jennifer Mikell Lincoln Social Worker 1325 Crowley Ln Apt 6, Fairfield, CA 94533-6001 2020-04-02
1174166185 Holly Mundon Social Worker 5 Darby Heath, Fairfield, OH 45014-5261 2019-10-22
1831652064 Seagull Counseling & Therapy LLC Social Worker 35 Nutmeg Lane, Fairfield, CT 06824 2019-04-14
1730642935 Susan Lipman Henry Social Worker 35 Nutmeg Ln, Fairfield, CT 06824-3909 2019-04-13
1689138133 Sue Nadel Social Worker 60 Hitching Post Ln, Fairfield, CT 06824-3133 2019-01-29
1194296905 Claudia Mast Social Worker 301 W Burlington, Fairfield, IA 52556-5255 2018-12-06
1942782842 Michael Joseph Molina Social Worker 510 Parker Rd, Fairfield, CA 94533-9000 2018-09-06
1134605256 Ashley Marie Stringer Social Worker 7000 Grasselli Rd, Fairfield, AL 35064-2424 2018-07-11
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Competitor

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City FAIRFIELD
Zip Code 06824

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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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