Active NPIOrganization

Asd Support Services LLC

Social Worker, Clinical in Higganum, Connecticut

NPI Number1174921431
Practice location
415 Killingworth RD, Suite 9A/B, Higganum, CT 06441-4370
Fax
860-322-4723
Last updated
December 18, 2014

Asd Support Services LLC is a healthcare organization based in Higganum, CT. Asd Support Services LLC practices in Higganum, CT. The NPI Number for Asd Support Services LLC is 1174921431 and holds a License No. 007775 (CT). The current practice location address for Asd Support Services LLC is 415 Killingworth RD, Suite 9A/B, Higganum, CT 06441-4370 and can be reached out via phone at 860-532-0604 and via fax at 860-322-4723.

Provider Profile Details

NPI Number
1174921431
Provider Name
Asd Support Services LLC
Provider Entity Type
Organization
Address
415 Killingworth RD, Suite 9A/B, Higganum, CT 06441-4370
Phone Number
860-532-0604
Fax Number
860-322-4723
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mr. Christopher Sean Carlin, LCSW · Founder/Director Of Clinical Servic · 860-532-0604
Other Names
Asd Center For Therapeutic Services (Doing Business As)
Provider Enumeration Date
December 18, 2014
Last Update Date
December 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Killingworth RD
Suite 9A/B
Higganum, CT 06441-4370
Zip
06441-4370
Phone Number
860-532-0604
Fax Number
860-322-4723
Higganum, CT 06441Get directions →

Provider Business Mailing Address Details

Address
415 Killingworth RD
Suite 9A/B
Higganum, CT 06441-4370
City
Higganum
State
CT
Zip
06441-4370
Phone Number
860-532-0604
Fax Number
860-322-4723

License Information

License Number
007775
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Asd Support Services LLC?

The NPI number of Asd Support Services LLC is 1174921431. It was assigned on December 18, 2014 and is currently active in the NPPES registry.

What is the specialty of Asd Support Services LLC?

Asd Support Services LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 007775.

Where does Asd Support Services LLC practice?

The practice location is 415 Killingworth RD, Suite 9A/B, Higganum, CT 06441-4370. The office can be reached at 860-532-0604 (phone) or 860-322-4723 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174921431 directly on the NPPES registry website.

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