Eclipse Depression Corp.
Social Worker, Clinical in Middlebury, Connecticut
1770225476- Practice location
- 20 Woodside Ave, Middlebury, CT 06762
- Phone
- 203-675-5371
- Fax
- —
- Last updated
- April 12, 2022
Eclipse Depression Corp. is a healthcare organization based in Middlebury, CT. Eclipse Depression Corp. practices in Middlebury, CT. The NPI Number for Eclipse Depression Corp. is 1770225476. The current practice location address for Eclipse Depression Corp. is 20 Woodside Ave, Middlebury, CT 06762 and can be reached out via phone at 203-675-5371.
Provider Profile Details
- NPI Number
- 1770225476
- Provider Name
- Eclipse Depression Corp.
- Provider Entity Type
- Organization
- Address
- 20 Woodside Ave, Middlebury, CT 06762
- Phone Number
- 203-675-5371
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Mr. Ray Sean Wilson, LCSW · C.e.o · 203-675-5371
- Provider Enumeration Date
- April 12, 2022
- Last Update Date
- April 12, 2022
- Certification Date
- April 12, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Woodside Ave
Middlebury, CT 06762 - City
- Middlebury
- State
- Connecticut
- Zip
- 06762
- Phone Number
- 203-675-5371
Provider Business Mailing Address Details
- Address
- 20 Woodside Ave
Middlebury, CT 06762 - City
- Middlebury
- State
- CT
- Zip
- 06762
- Phone Number
- 203-675-5371
License Information
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Eclipse Depression Corp.?
The NPI number of Eclipse Depression Corp. is 1770225476. It was assigned on April 12, 2022 and is currently active in the NPPES registry.
What is the specialty of Eclipse Depression Corp.?
Eclipse Depression Corp. is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Eclipse Depression Corp. practice?
The practice location is 20 Woodside Ave, Middlebury, CT 06762. The office can be reached at 203-675-5371 (phone).
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 1770225476 directly on the NPPES registry website.