CHRISTOPHER GACKENHEIMER (NPI# 1760958425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760958425 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER GACKENHEIMER |
| Credential | LCSW |
| Practice Address |
545 Highland Ave Cheshire CT 06410-2205 |
| Mailing Address |
27 Autumn St New Haven CT 06511-2220 |
| Practice Telephone | 2032500305 |
| Mailing Telephone | 3128023015 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009232 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 89 Marsh Hill Rd, Orange, CT 064773613 | 2037996000 |
| Street Address |
545 HIGHLAND AVE |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922533363 | The Social Learning Center. LLC | Counselor | 545 Highland Ave, Cheshire, CT 06410-2205 | 2017-04-24 |
| 1427571587 | Slc Counseling Associates, LLC | Counselor | 545 Highland Ave, Cheshire, CT 06410-2205 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201927 | Fun 2b Free LLC | Social Worker | 150 Victoria Dr, Cheshire, CT 06410-7126 | 2020-10-02 |
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1154965150 | Positive Change Therapy, Pllc | Social Worker | 422 Highland Ave Ste 5, Cheshire, CT 06410-2526 | 2019-11-01 |
| 1760914741 | Shawniel B Chamanlal | Social Worker | 555 Highland Ave Ste 13, Cheshire, CT 06410-2255 | 2017-03-30 |
| 1205373636 | Aili Cordova Arisco | Social Worker | 298 S Meriden Rd, Cheshire, CT 06410-2954 | 2017-01-24 |
| 1760927552 | Michelle Murphy | Social Worker | 1520 Marion Rd, Cheshire, CT 06410-1108 | 2017-01-03 |
| 1023485463 | Luis Jaramillo | Social Worker | 1564 Waterbury Rd, Cheshire, CT 06410-1331 | 2015-09-01 |
| 1235506502 | Nicole Mary Wichowski | Social Worker | 105 Ridgeview Pl, Cheshire, CT 06410-2715 | 2015-08-21 |
| 1366848178 | Patricia Mcalinden | Social Worker | 644 Cornwall Ave, Cheshire, CT 06410-2609 | 2014-11-06 |
| 1720483126 | Sabrina Danard | Social Worker | 1225 Notch Rd, Cheshire, CT 06410-1919 | 2014-10-28 |
| Find all providers in CHESHIRE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.