College Street Counseling Center LLC
NPI 1093089948ActiveOrganization· Social Worker, Clinical· Middletown, CT
Social Worker, Clinical in Middletown, Connecticut, registered in NPPES in February 2012. The authorized official on file is Phillip Sylvester, PH.D., Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093089948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2012 |
| Last updated in NPPES | Feb 23, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 004228 | CT |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 000329 | CT |
| Psychologist, Counseling | 103TC1900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CT) |
|---|
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