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CONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC.
NPI 1013631506
Prevention Professional in New Haven, CT

Active since September 28, 2022
230 ASHMUN ST, NEW HAVEN, CT 06511(203) 410-2580 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connecticut Violence Intervention Program, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC. (NPI 1013631506) is a healthcare organization registered as a prevention professional in New Haven, Connecticut and active in the NPI registry since September 2022. The organization lists Michaela Fraser Reilly, Marketing, Technology & Research, as its authorized official.

NPPES Registry Identity

NPI1013631506
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameCONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC.
Location Address230 ASHMUN STNew Haven, CT 06511-3574
Mailing Address230 Ashmun StNew Haven, CT 06511-3574
Phone(203) 410-2580
Organization SubpartNo
Authorized OfficialMichaela Fraser ReillyMarketing, Technology & Research · (201) 783-4921
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1013631506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
230 ASHMUN ST, New Haven, CT 06511
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FREDERICK OGLESBY LCSW
Social Worker (Clinical)
230 ASHMUN ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
MS. BARBARA JEAN FAIR LCSW
Social Worker (Clinical)
230 ASHMUN ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
CONNECTICUT CHILDREN & FAMILY CTR. INC
Community/Behavioral Health
230 ASHMUN ST, BOX 4
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
MISS JOHANNA SAMBERG-CHAMPION MSW
Social Worker (Clinical)
230 ASHMUN ST, BOX 4
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
LARRY D CONAWAY LCSW
Social Worker (Clinical)
230 ASHMUN ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
CHARLES V. SALTERS
Counselor
230 ASHMUN ST, BOX # 4
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
CONNECTICUT CHILDREN AND FAMILY CENTER
Community/Behavioral Health
230 ASHMUN ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228
CAEL S. BABB LCSW
Social Worker (Clinical)
230 ASHMUN ST, BOX 4
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 772-4228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connecticut Violence Intervention Program, Inc.'s NPI number?

The NPI number for Connecticut Violence Intervention Program, Inc. is 1013631506. It was assigned to this organization in the NPPES registry on September 28, 2022.

Where is Connecticut Violence Intervention Program, Inc. located?

Connecticut Violence Intervention Program, Inc. is located at 230 Ashmun St, New Haven, CT 06511. The listed phone number is (203) 410-2580.

What is Connecticut Violence Intervention Program, Inc.'s specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Connecticut Violence Intervention Program, Inc. was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.