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COLLEGE STREET COUNSELING CENTER LLC
NPI 1093089948
Social Worker - Clinical in Middletown, CT

Active since February 23, 2012
154 COLLEGE ST, MIDDLETOWN, CT 06457(860) 347-8894(860) 346-2405 Get Directions Write a Review

NPPES record last updated: February 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About College Street Counseling Center Llc NPPES

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

COLLEGE STREET COUNSELING CENTER LLC (NPI 1093089948) is a healthcare organization registered as a clinical in Middletown, Connecticut and active in the NPI registry since February 2012. The organization lists Phillip Sylvester, Partner, as its authorized official.

NPPES Registry Identity

NPI1093089948
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOLLEGE STREET COUNSELING CENTER LLC
Location Address154 COLLEGE STMiddletown, CT 06457-3201
Mailing Address154 College StMiddletown, CT 06457-3201 · (860) 347-8894 · Fax (860) 346-2405
Phone(860) 347-8894
Fax(860) 346-2405
Organization SubpartNo
Authorized OfficialPhillip SylvesterPartner · (860) 347-8894
Enumeration DateFebruary 23, 2012
✔ NPI 1093089948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 004228
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 000329 (CT)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
154 COLLEGE ST, Middletown, CT 06457
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Other Identifiers 1

Medicare PIN800001889CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

EDWARD GEORGE LANGFORD II LPC
Counselor (Professional)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 719-1969
SALLY F BAUMER L.C.S.W.
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-1415
DR. PATRICK JOSEPH RUSSOLILLO PH.D
Psychologist (Clinical Child & Adolescent)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-9694
KATHLEEN WATANABE LCSW LADC
Counselor (Addiction (Substance Use Disorder))
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-8894
DR. ROSEMARY BLEYER PH.D.
Psychologist (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-1415
DAVID SPALDING LCSW
Social Worker (Clinical)
154 COLLEGE ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-9150

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 College Street Counseling Center LLC's NPI number?

The NPI number for College Street Counseling Center LLC is 1093089948. It was assigned to this organization in the NPPES registry on February 23, 2012.

Where is College Street Counseling Center LLC located?

College Street Counseling Center LLC is located at 154 College St, Middletown, CT 06457. The listed phone number is (860) 347-8894.

What is College Street Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for College Street Counseling Center LLC was last updated on February 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.