Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prospect CT Medical Foundation, Inc

Organization Clinical Social Worker · NPI 1144677568

Prospect CT Medical Foundation, Inc is a Clinical Social Worker in Manchester, Connecticut. Works from 2 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
15
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

71 Haynes St Miller Bldg Fl G
Manchester, CT 06040-4131
Phone: (860) 533-2981
Fax: (860) 533-2975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Echo Lake Rd Unit A, Watertown, CT 06795-6618 — (860) 274-5497

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Registered Nurse Taxonomy 163W00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X
Hospitalist Physician Taxonomy 208M00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1144677568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Elders — Secretary · (714) 788-1249
Other names Medical Group; Medical Group
NPI enumeratedMay 16, 2016
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address71 Haynes St, Miller Bldg., Floor G, Manchester, CT 06040-4131

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