Active NPIIndividual providerSole proprietor

Mr. Charles F Kirby III, LMSW-CC

Social Worker, Clinical in Woodbridge, Connecticut

NPI Number1306094297
Practice location
30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240
Fax
203-298-9487
Last updated
July 21, 2024

Charles F. Kirby is a Social Worker, Clinical based in Woodbridge, CT. Charles F. Kirby practices in Woodbridge, CT and has the professional credentials of LMSW-CC. The NPI Number for Charles F. Kirby is 1306094297 and holds a License No. MC11253 (ME). The current practice location address for Charles F. Kirby is 30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240 and can be reached out via phone at 203-819-7650 and via fax at 203-298-9487.

Provider Profile Details

NPI Number
1306094297
Provider Name
Charles F. Kirby
Credential
LMSW-CC
Provider Entity Type
Individual
Gender
Male
Address
30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240
Phone Number
203-819-7650
Fax Number
203-298-9487
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2008
Last Update Date
July 21, 2024
Certification Date
July 21, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Hazel Ter Ste 11
Woodbridge, CT 06525-2240
Zip
06525-2240
Phone Number
203-819-7650
Fax Number
203-298-9487
Woodbridge, CT 06525Get directions →

Provider Business Mailing Address Details

Address
30 Hazel Ter Ste 11
Woodbridge, CT 06525-2240
City
Woodbridge
State
CT
Zip
06525-2240
Phone Number
203-819-7650
Fax Number
203-597-8860

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
MC11253
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Mr. Charles F Kirby III, LMSW-CC?

The NPI number of Mr. Charles F Kirby III, LMSW-CC is 1306094297. It was assigned on September 4, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Charles F Kirby III, LMSW-CC?

Mr. Charles F Kirby III, LMSW-CC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number MC11253.

Where does Mr. Charles F Kirby III, LMSW-CC practice?

The practice location is 30 Hazel Ter Ste 11, Woodbridge, CT 06525-2240. The office can be reached at 203-819-7650 (phone) or 203-298-9487 (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 1306094297 directly on the NPPES registry website.

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