Nichole E Burns, LCSW
Individual provider Active NPI Clinical Social Worker · Wethersfield, CT
NPI 1003230624 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1003230624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 415 Silas Deane Hwy Ste 402
Wethersfield, CT 06109-2119 - Phone
- (860) 288-7034
- NPI assigned
- Feb 18, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727001174 | CT | Practitioner - Clinical Social Worker | 1355655952 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urologic Associates, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
415 Silas Deane Hwy Ste 402
Wethersfield, CT 06109-2119
Mailing address
1290 Silas Deane Hwy Ste 402
Wethersfield, CT 06109-4337
Phone (860) 288-7034
Other practice location 1
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 972-8013
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008059339 | Medicaid | CT |
Other providers in Wethersfield, CT
- Mallika Budhai
- Building Bridges, LLC
- Joy Marie Burchell
- Meghan E Burgess
- Samantha Burgos
- Jane Buss
- Jasmine Byrd
- Andrea Lynn Calabrese
- Karen E. Calcaterra
- Ozlem Camli
All providers in Wethersfield, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.